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 $293.41 / $307.68 / $331.17	Professional		$293.41	$307.68	$331.17
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 $113.39 / $433.94 / $644.00	Professional		$113.39	$433.94	$644.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $397.29 / $397.29	Facility		$397.29	$397.29	$397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $519.48 / $717.38	Professional		$349.63	$519.48	$717.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.41 / $446.29	Professional		$3.50	$4.41	$446.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $405.72 / $777.59	Facility		$100.79	$405.72	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $480.70 / $686.33	Professional		$320.39	$480.70	$686.33