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 $109.24 / $140.44 / $247.31	Professional		$109.24	$140.44	$247.31
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 $111.57 / $182.46 / $244.40	Professional		$111.57	$182.46	$244.40
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 $117.98 / $158.05 / $243.07	Professional		$117.98	$158.05	$243.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $138.69 / $357.28	Professional		$8.00	$138.69	$357.28
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 $6.00 / $116.98 / $382.80	Professional		$6.00	$116.98	$382.80
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 $109.50 / $136.49 / $237.88	Professional		$109.50	$136.49	$237.88