Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.97 / $1,706.00 / $4,473.00	Facility		$302.97	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $203.18 / $327.05	Professional		$85.67	$203.18	$327.05
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 $89.31 / $119.47 / $207.53	Professional		$89.31	$119.47	$207.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.77 / $199.77 / $199.77	Facility		$199.77	$199.77	$199.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $187.25 / $411.28	Professional		$82.61	$187.25	$411.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $212.06 / $378.00	Professional		$78.09	$212.06	$378.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.41 / $1,070.41 / $1,070.41	Facility		$1,070.41	$1,070.41	$1,070.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $130.16 / $318.08	Professional		$86.78	$130.16	$318.08
United Facility/Professional Facility Modifier Low / Median / High Price $224.90 / $2,200.00 / $6,244.00	Facility		$224.90	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $250.60 / $442.71	Professional		$208.83	$250.60	$442.71