Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.03 / $1,706.00 / $4,473.00	Facility		$198.03	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $142.55 / $212.27	Professional		$117.37	$142.55	$212.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $145.55 / $172.58	Professional		$122.63	$145.55	$172.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Facility		$95.63	$95.63	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $181.28 / $320.00	Professional		$115.59	$181.28	$320.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $164.26 / $259.52	Professional		$92.43	$164.26	$259.52
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 $109.43 / $154.05 / $164.15	Professional		$109.43	$154.05	$164.15
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $169.11 / $290.43	Professional		$135.66	$169.11	$290.43