Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,396.00	Facility		$750.00	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $144.88 / $280.77	Professional		$62.74	$144.88	$280.77
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 $78.45 / $158.22 / $243.43	Professional		$78.45	$158.22	$243.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $117.07 / $117.07	Facility		$117.07	$117.07	$117.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $138.52 / $268.38	Professional		$65.51	$138.52	$268.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $131.41 / $278.64	Professional		$54.32	$131.41	$278.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $1,790.66 / $1,790.66	Facility		$127.94	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $66.45 / $191.91	Professional		$57.18	$66.45	$191.91
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $211.02 / $303.95	Professional		$160.91	$211.02	$303.95