Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.42 / $1,706.00 / $4,473.00	Facility		$223.42	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $160.94 / $307.27	Professional		$96.74	$160.94	$307.27
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 $90.91 / $121.61 / $192.44	Professional		$90.91	$121.61	$192.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $129.33	Facility		$129.33	$129.33	$129.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $181.49 / $310.85	Professional		$81.50	$181.49	$310.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $147.46 / $274.70	Professional		$72.52	$147.46	$274.70
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 $80.58 / $120.87 / $208.22	Professional		$80.58	$120.87	$208.22
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $187.22 / $318.77	Professional		$154.66	$187.22	$318.77