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 $236.09 / $470.26 / $2,903.45	Professional		$236.09	$470.26	$2,903.45
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 $267.93 / $526.30 / $3,977.46	Professional		$267.93	$526.30	$3,977.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.91 / $457.41 / $3,911.19	Professional		$245.91	$457.41	$3,911.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $651.49 / $3,823.19	Professional		$189.48	$651.49	$3,823.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $315.80 / $2,154.29	Professional		$210.53	$315.80	$2,154.29
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.08 / $2,487.12 / $4,848.51	Professional		$486.08	$2,487.12	$4,848.51