Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.11 / $1,706.00 / $4,473.00	Facility		$208.11	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.55 / $203.73 / $926.08	Professional		$171.55	$203.73	$926.08
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 $131.37 / $175.73 / $288.27	Professional		$131.37	$175.73	$288.27
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 $165.85 / $250.00 / $376.00	Professional		$165.85	$250.00	$376.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $233.20 / $498.75	Professional		$1.32	$233.20	$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 $0.90 / $204.28 / $760.46	Professional		$0.90	$204.28	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,709.00 / $3,017.00	Facility		$408.00	$1,709.00	$3,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $285.63 / $405.27	Professional		$196.68	$285.63	$405.27