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 / $4,473.00	Facility		$750.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $318.61 / $1,359.99	Professional		$222.29	$318.61	$1,359.99
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 $287.41 / $308.85 / $431.80	Professional		$287.41	$308.85	$431.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.77 / $264.77 / $264.77	Facility		$264.77	$264.77	$264.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $367.42 / $610.66	Professional		$259.27	$367.42	$610.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $348.76 / $565.14	Professional		$3.20	$348.76	$565.14
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 $2.40 / $362.84 / $588.69	Professional		$2.40	$362.84	$588.69
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $417.81 / $609.53	Professional		$296.54	$417.81	$609.53