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 $204.84 / $293.00 / $449.61	Professional		$204.84	$293.00	$449.61
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 $194.99 / $289.29 / $500.03	Professional		$194.99	$289.29	$500.03
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 $189.07 / $293.00 / $461.83	Professional		$189.07	$293.00	$461.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $343.30 / $1,795.00	Professional		$1.68	$343.30	$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 $1.26 / $266.19 / $2,243.75	Professional		$1.26	$266.19	$2,243.75
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $275.69 / $459.45	Professional		$183.80	$275.69	$459.45