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 $222.01 / $239.65 / $385.62	Professional		$222.01	$239.65	$385.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $306.18 / $446.31	Professional		$176.67	$306.18	$446.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $672.33 / $718.96	Facility		$515.00	$672.33	$718.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $292.00 / $438.10	Professional		$222.86	$292.00	$438.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $201.35 / $281.89 / $692.97	Professional		$201.35	$281.89	$692.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $1,007.60 / $1,007.60	Facility		$533.04	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $201.35 / $219.05 / $799.58	Professional		$201.35	$219.05	$799.58
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 $220.44 / $290.58 / $443.80	Professional		$220.44	$290.58	$443.80