Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.48 / $1,639.00 / $4,473.00	Facility		$225.48	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $153.50 / $240.92	Professional		$85.00	$153.50	$240.92
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 $90.74 / $121.38 / $168.74	Professional		$90.74	$121.38	$168.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.83 / $521.83 / $521.83	Facility		$521.83	$521.83	$521.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $192.19 / $341.07	Professional		$82.26	$192.19	$341.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $180.22 / $567.32	Professional		$72.52	$180.22	$567.32
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 $80.58 / $120.87 / $270.33	Professional		$80.58	$120.87	$270.33
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 $155.80 / $185.37 / $332.03	Professional		$155.80	$185.37	$332.03