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 / $4,986.68	Facility		$750.00	$1,713.00	$4,986.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $148.25 / $397.62	Professional		$67.38	$148.25	$397.62
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 $90.58 / $191.03 / $319.35	Professional		$90.58	$191.03	$319.35
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 $84.72 / $165.94 / $375.69	Professional		$84.72	$165.94	$375.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $142.50 / $736.10	Professional		$0.88	$142.50	$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 $0.60 / $113.34 / $1,162.26	Professional		$0.60	$113.34	$1,162.26
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 $169.47 / $246.40 / $513.91	Professional		$169.47	$246.40	$513.91