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 $129.51 / $139.79 / $302.54	Professional		$129.51	$139.79	$302.54
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 $129.07 / $196.21 / $303.81	Professional		$129.07	$196.21	$303.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $209.68 / $360.64	Professional		$139.79	$209.68	$360.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $190.75 / $1,120.63	Professional		$4.55	$190.75	$1,120.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $128.62 / $1,400.79	Professional		$3.42	$128.62	$1,400.79
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 $130.21 / $203.10 / $300.72	Professional		$130.21	$203.10	$300.72