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 $114.99 / $117.46 / $636.94	Professional		$114.99	$117.46	$636.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $138.94 / $199.96	Professional		$118.50	$138.94	$199.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $166.74 / $166.74	Facility		$166.74	$166.74	$166.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $143.72 / $222.56	Professional		$113.30	$143.72	$222.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $150.53 / $293.83	Professional		$3.62	$150.53	$293.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $326.24 / $326.24	Facility		$175.95	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $110.46 / $263.93	Professional		$2.46	$110.46	$263.93
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,975.00	Facility		$200.00	$1,427.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $148.68 / $227.81	Professional		$118.34	$148.68	$227.81