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 $151.62 / $192.97 / $294.86	Professional		$151.62	$192.97	$294.86
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 $146.27 / $202.78 / $337.05	Professional		$146.27	$202.78	$337.05
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 $138.15 / $204.93 / $347.35	Professional		$138.15	$204.93	$347.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $209.58 / $1,795.00	Professional		$1.44	$209.58	$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 $1.08 / $175.37 / $2,243.75	Professional		$1.08	$175.37	$2,243.75
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,331.00 / $7,138.00	Facility		$888.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $194.12 / $335.51	Professional		$146.55	$194.12	$335.51