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 / $5,109.85	Facility		$750.00	$1,713.00	$5,109.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $216.78 / $629.94	Professional		$53.32	$216.78	$629.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $224.28 / $358.26	Professional		$71.76	$224.28	$358.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $154.80 / $372.07	Professional		$59.06	$154.80	$372.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $188.39 / $736.10	Professional		$0.97	$188.39	$736.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $75.75 / $1,162.26	Professional		$0.66	$75.75	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $288.95 / $425.89	Professional		$209.94	$288.95	$425.89