Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.37 / $1,706.00 / $4,473.00	Facility		$367.37	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $253.60 / $515.23	Professional		$131.88	$253.60	$515.23
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 $126.20 / $167.51 / $269.58	Professional		$126.20	$167.51	$269.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.08 / $231.08 / $231.08	Facility		$231.08	$231.08	$231.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $253.74 / $518.39	Professional		$141.19	$253.74	$518.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $246.06 / $466.72	Professional		$100.95	$246.06	$466.72
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 $112.17 / $168.26 / $369.09	Professional		$112.17	$168.26	$369.09
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.01 / $306.99 / $529.44	Professional		$224.01	$306.99	$529.44