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 / $4,473.00	Facility		$750.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.17 / $237.45 / $382.07	Professional		$220.17	$237.45	$382.07
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 $219.16 / $266.45 / $415.18	Professional		$219.16	$266.45	$415.18
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 $220.88 / $289.88 / $434.22	Professional		$220.88	$289.88	$434.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $199.67 / $279.54 / $891.51	Professional		$199.67	$279.54	$891.51
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 $199.67 / $217.11 / $1,028.67	Professional		$199.67	$217.11	$1,028.67
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 $218.46 / $289.80 / $445.59	Professional		$218.46	$289.80	$445.59