Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $193.03 / $429.41	Professional		$164.12	$193.03	$429.41
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 $181.46 / $201.42 / $315.30	Professional		$181.46	$201.42	$315.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $247.45 / $372.74	Professional		$160.00	$247.45	$372.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $189.89 / $290.52	Professional		$2.02	$189.89	$290.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $187.71 / $284.83	Professional		$1.38	$187.71	$284.83
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.72 / $230.48 / $389.97	Professional		$182.72	$230.48	$389.97