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 $49.94 / $59.18 / $75.06	Professional		$49.94	$59.18	$75.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $64.90 / $95.70	Professional		$53.31	$64.90	$95.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $902.97 / $965.60	Facility		$691.66	$902.97	$965.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $66.98 / $120.64	Professional		$48.10	$66.98	$120.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.64 / $425.00	Professional		$0.56	$0.64	$425.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Professional		$0.48	$0.48	$0.48
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 $48.24 / $63.60 / $103.49	Professional		$48.24	$63.60	$103.49