Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.72 / $1,706.00 / $4,473.00	Facility		$412.72	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $284.01 / $635.89	Professional		$169.64	$284.01	$635.89
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 $159.24 / $213.01 / $314.22	Professional		$159.24	$213.01	$314.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.01 / $244.01 / $244.01	Facility		$244.01	$244.01	$244.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $305.35 / $580.70	Professional		$140.22	$305.35	$580.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $260.77 / $521.79	Professional		$126.01	$260.77	$521.79
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 $140.01 / $210.02 / $391.17	Professional		$140.01	$210.02	$391.17
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 $219.34 / $346.37 / $1,672.50	Professional		$219.34	$346.37	$1,672.50