Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,899.00	Facility		$950.00	$2,173.00	$4,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $143.72 / $895.65	Professional		$56.49	$143.72	$895.65
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 $66.77 / $171.93 / $208.65	Professional		$66.77	$171.93	$208.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $691.66 / $691.66	Facility		$691.66	$691.66	$691.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $198.30 / $327.20	Professional		$83.81	$198.30	$327.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $173.01 / $653.89	Professional		$1.76	$173.01	$653.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.08 / $1,637.08 / $1,637.08	Facility		$1,637.08	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $79.34 / $1,032.47	Professional		$1.20	$79.34	$1,032.47
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $280.80 / $470.44	Professional		$206.44	$280.80	$470.44