Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.03 / $2,173.00 / $4,841.00	Facility		$192.03	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $186.09 / $662.69	Professional		$121.19	$186.09	$662.69
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 $93.93 / $125.65 / $206.33	Professional		$93.93	$125.65	$206.33
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 $130.32 / $196.22 / $313.32	Professional		$130.32	$196.22	$313.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $190.47 / $498.75	Professional		$0.97	$190.47	$498.75
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 $0.66 / $169.23 / $760.46	Professional		$0.66	$169.23	$760.46
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 $162.26 / $211.32 / $344.61	Professional		$162.26	$211.32	$344.61