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 $263.82 / $286.58 / $458.58	Professional		$263.82	$286.58	$458.58
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 $264.04 / $335.83 / $500.20	Professional		$264.04	$335.83	$500.20
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 $262.58 / $338.00 / $520.00	Professional		$262.58	$338.00	$520.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $333.56 / $891.51	Professional		$238.26	$333.56	$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 $238.26 / $260.00 / $1,028.67	Professional		$238.26	$260.00	$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 $262.35 / $345.27 / $530.78	Professional		$262.35	$345.27	$530.78