Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,396.00	Facility		$750.00	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $231.59 / $336.31	Professional		$157.50	$231.59	$336.31
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 $149.46 / $226.04 / $406.70	Professional		$149.46	$226.04	$406.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $245.59 / $401.96	Professional		$155.94	$245.59	$401.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $294.54 / $487.41	Professional		$176.37	$294.54	$487.41
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $264.56 / $471.69	Professional		$176.37	$264.56	$471.69
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 $229.68 / $302.23 / $529.83	Professional		$229.68	$302.23	$529.83