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 $93.04 / $111.16 / $167.45	Professional		$93.04	$111.16	$167.45
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 $87.70 / $117.21 / $191.25	Professional		$87.70	$117.21	$191.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $118.67 / $221.58	Professional		$83.84	$118.67	$221.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $124.58 / $1,795.00	Professional		$2.40	$124.58	$1,795.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $99.40 / $2,243.75	Professional		$1.80	$99.40	$2,243.75
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,146.00 / $7,138.00	Facility		$888.00	$2,146.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $117.27 / $195.65	Professional		$89.78	$117.27	$195.65