Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.26 / $1,706.00 / $4,473.00	Facility		$321.26	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $267.62 / $761.64	Professional		$128.46	$267.62	$761.64
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 $134.50 / $159.19 / $264.60	Professional		$134.50	$159.19	$264.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $269.89 / $541.07	Professional		$148.18	$269.89	$541.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $243.62 / $577.03	Professional		$3.44	$243.62	$577.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $192.71 / $760.46	Professional		$2.34	$192.71	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $383.85 / $578.15	Professional		$277.10	$383.85	$578.15