Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.61 / $2,173.00 / $4,841.00	Facility		$280.61	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $235.98 / $732.01	Professional		$107.66	$235.98	$732.01
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 $119.52 / $218.95 / $245.61	Professional		$119.52	$218.95	$245.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $233.00 / $472.61	Professional		$132.32	$233.00	$472.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $175.03 / $403.14	Professional		$77.75	$175.03	$403.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $873.16 / $873.16 / $873.16	Facility		$873.16	$873.16	$873.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $155.51 / $395.24	Professional		$2.70	$155.51	$395.24
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 $259.70 / $355.95 / $539.28	Professional		$259.70	$355.95	$539.28