Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $229.84 / $349.09	Professional		$173.85	$229.84	$349.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $224.38 / $389.45	Professional		$162.88	$224.38	$389.45
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 $127.15 / $241.22 / $377.79	Professional		$127.15	$241.22	$377.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $248.20 / $639.66	Professional		$2.31	$248.20	$639.66
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 $1.74 / $205.45 / $799.58	Professional		$1.74	$205.45	$799.58
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $228.67 / $386.83	Professional		$170.62	$228.67	$386.83