Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.49 / $1,706.00 / $4,473.00	Facility		$535.49	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.19 / $409.39 / $843.50	Professional		$295.19	$409.39	$843.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.50 / $353.86 / $437.50	Professional		$310.50	$353.86	$437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.58 / $287.58 / $287.58	Facility		$287.58	$287.58	$287.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $413.34 / $625.64	Professional		$283.73	$413.34	$625.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $268.43 / $429.74 / $674.76	Professional		$268.43	$429.74	$674.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $298.25 / $418.19 / $463.74	Professional		$298.25	$418.19	$463.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $417.32 / $2,554.50	Professional		$274.70	$417.32	$2,554.50