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 $138.66 / $202.21 / $740.98	Professional		$138.66	$202.21	$740.98
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 $122.97 / $166.88 / $219.57	Professional		$122.97	$166.88	$219.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $175.82 / $271.30	Professional		$115.84	$175.82	$271.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $157.08 / $231.57	Professional		$3.38	$157.08	$231.57
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $98.56 / $135.76	Professional		$1.74	$98.56	$135.76
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 $142.13 / $213.21 / $303.47	Professional		$142.13	$213.21	$303.47