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 $95.82 / $106.62 / $307.27	Professional		$95.82	$106.62	$307.27
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 $92.17 / $132.28 / $190.19	Professional		$92.17	$132.28	$190.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $126.75 / $181.40	Professional		$94.51	$126.75	$181.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $97.81 / $139.61	Professional		$1.28	$97.81	$139.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $483.16 / $483.16 / $483.16	Facility		$483.16	$483.16	$483.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $92.08 / $122.27	Professional		$0.96	$92.08	$122.27
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 $92.70 / $123.60 / $195.62	Professional		$92.70	$123.60	$195.62