Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,396.00	Facility		$750.00	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $172.43 / $301.87	Professional		$105.34	$172.43	$301.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $153.36 / $267.66	Professional		$92.76	$153.36	$267.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $138.52 / $138.52	Facility		$138.52	$138.52	$138.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $163.30 / $277.45	Professional		$98.91	$163.30	$277.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $166.88 / $298.02	Professional		$107.43	$166.88	$298.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $161.15 / $217.67	Professional		$107.43	$161.15	$217.67
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 $151.96 / $198.06 / $353.43	Professional		$151.96	$198.06	$353.43