Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $55.35 / $159.00	Professional		$49.19	$55.35	$159.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $69.09 / $96.58	Professional		$45.05	$69.09	$96.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $249.33 / $249.33	Facility		$249.33	$249.33	$249.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $65.48 / $105.34	Professional		$48.21	$65.48	$105.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $58.92 / $331.76	Professional		$0.96	$58.92	$331.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $255.20 / $483.16 / $483.16	Facility		$255.20	$483.16	$483.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $46.92 / $382.80	Professional		$0.72	$46.92	$382.80
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,055.00 / $1,975.00	Facility		$200.00	$1,055.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $58.21 / $97.42	Professional		$45.57	$58.21	$97.42