Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,730.00	Facility		$911.00	$1,713.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $116.99 / $564.98	Professional		$101.77	$116.99	$564.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $146.74 / $193.58	Professional		$111.19	$146.74	$193.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $126.67 / $184.72	Professional		$91.22	$126.67	$184.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $150.77 / $505.74	Professional		$1.76	$150.77	$505.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $404.59 / $765.36 / $765.36	Facility		$404.59	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $109.01 / $606.89	Professional		$1.20	$109.01	$606.89
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $132.30 / $198.24	Professional		$103.85	$132.30	$198.24