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 $55.81 / $57.01 / $106.27	Professional		$55.81	$57.01	$106.27
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 $55.59 / $76.15 / $96.79	Professional		$55.59	$76.15	$96.79
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 $60.01 / $86.50 / $149.59	Professional		$60.01	$86.50	$149.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $85.46 / $505.74	Professional		$1.41	$85.46	$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 $0.96 / $53.86 / $606.89	Professional		$0.96	$53.86	$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 $58.68 / $84.39 / $110.85	Professional		$58.68	$84.39	$110.85