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 $156.68 / $200.45 / $852.97	Professional		$156.68	$200.45	$852.97
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 $162.46 / $184.97 / $270.54	Professional		$162.46	$184.97	$270.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $287.27 / $287.27	Facility		$287.27	$287.27	$287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $215.35 / $341.43	Professional		$146.71	$215.35	$341.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $232.29 / $385.66	Professional		$1.50	$232.29	$385.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $562.80 / $562.80 / $562.80	Facility		$562.80	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $214.99 / $462.80	Professional		$1.02	$214.99	$462.80
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $207.72 / $360.86	Professional		$168.60	$207.72	$360.86