Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $173.59 / $181.59	Professional		$155.63	$173.59	$181.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $204.01 / $303.60	Professional		$122.16	$204.01	$303.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $465.11	Professional		$200.00	$200.00	$465.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $203.20 / $323.45	Professional		$172.72	$203.20	$323.45