Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $130.72 / $230.62	Professional		$80.73	$130.72	$230.62
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 $78.05 / $118.65 / $194.59	Professional		$78.05	$118.65	$194.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $76.91 / $76.91	Facility		$76.91	$76.91	$76.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $126.08 / $230.61	Professional		$80.43	$126.08	$230.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $118.54 / $219.01	Professional		$74.58	$118.54	$219.01
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 $78.50 / $117.75 / $138.60	Professional		$78.50	$117.75	$138.60
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 $129.28 / $149.40 / $261.45	Professional		$129.28	$149.40	$261.45