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 $378.89 / $478.36 / $767.08	Professional		$378.89	$478.36	$767.08
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 $372.86 / $507.72 / $833.07	Professional		$372.86	$507.72	$833.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,915.40 / $2,048.25	Facility		$1,467.17	$1,915.40	$2,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.61 / $502.28 / $803.13	Professional		$316.61	$502.28	$803.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $525.85 / $1,855.13	Professional		$9.60	$525.85	$1,855.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $439.93 / $2,318.91	Professional		$7.20	$439.93	$2,318.91
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 $374.63 / $498.02 / $804.52	Professional		$374.63	$498.02	$804.52