Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.92 / $1,639.00 / $4,396.00	Facility		$597.92	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $97.19 / $163.18	Professional		$86.98	$97.19	$163.18
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 $91.72 / $112.76 / $162.28	Professional		$91.72	$112.76	$162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $110.98 / $162.36	Professional		$83.42	$110.98	$162.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $125.84 / $968.55	Professional		$2.29	$125.84	$968.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $92.03 / $1,162.26	Professional		$1.56	$92.03	$1,162.26
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 $96.95 / $118.90 / $168.97	Professional		$96.95	$118.90	$168.97