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 $177.21 / $294.23 / $1,166.32	Professional		$177.21	$294.23	$1,166.32
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 $196.76 / $246.35 / $354.13	Professional		$196.76	$246.35	$354.13
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 $161.91 / $280.92 / $428.95	Professional		$161.91	$280.92	$428.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $307.02 / $688.31	Professional		$144.00	$307.02	$688.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $193.91 / $415.73	Professional		$181.86	$193.91	$415.73
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.09 / $322.25 / $479.44	Professional		$243.09	$322.25	$479.44