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 $127.69 / $245.55 / $434.65	Professional		$127.69	$245.55	$434.65
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 $160.49 / $244.61 / $419.83	Professional		$160.49	$244.61	$419.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.97 / $208.97 / $208.97	Facility		$208.97	$208.97	$208.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $252.46 / $406.46	Professional		$167.51	$252.46	$406.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $257.00 / $458.25	Professional		$166.73	$257.00	$458.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $250.10 / $321.26	Professional		$166.73	$250.10	$321.26
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 $233.28 / $308.20 / $538.03	Professional		$233.28	$308.20	$538.03