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 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $111.37 / $538.29	Professional		$103.68	$111.37	$538.29
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 $105.87 / $144.86 / $193.96	Professional		$105.87	$144.86	$193.96
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 $99.26 / $125.44 / $175.84	Professional		$99.26	$125.44	$175.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $133.34 / $505.74	Professional		$1.23	$133.34	$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 $0.84 / $103.67 / $606.89	Professional		$0.84	$103.67	$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 $99.22 / $123.60 / $193.04	Professional		$99.22	$123.60	$193.04