Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $111.06 / $209.61	Professional		$69.45	$111.06	$209.61
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 $65.00 / $99.95 / $172.82	Professional		$65.00	$99.95	$172.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $90.19 / $90.19	Facility		$90.19	$90.19	$90.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $108.05 / $179.34	Professional		$67.80	$108.05	$179.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $114.13 / $187.83	Professional		$75.58	$114.13	$187.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $113.37 / $138.27	Professional		$75.58	$113.37	$138.27
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 $104.98 / $129.91 / $226.80	Professional		$104.98	$129.91	$226.80