Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $1,706.00 / $4,473.00	Facility		$184.45	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $180.57 / $686.49	Professional		$134.22	$180.57	$686.49
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 $131.84 / $152.22 / $238.01	Professional		$131.84	$152.22	$238.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.98 / $95.98 / $95.98	Facility		$95.98	$95.98	$95.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $192.79 / $300.95	Professional		$133.61	$192.79	$300.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $148.05 / $285.64	Professional		$0.40	$148.05	$285.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $163.50 / $280.05	Professional		$0.30	$163.50	$280.05
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 $157.79 / $223.76 / $335.95	Professional		$157.79	$223.76	$335.95