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 $118.55 / $141.63 / $209.89	Professional		$118.55	$141.63	$209.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $1,172.00	Facility		$630.00	$630.00	$1,172.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $150.35 / $241.87	Professional		$118.62	$150.35	$241.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,806.00 / $17,045.00 / $17,152.00	Facility		$13,806.00	$17,045.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $155.79 / $231.84	Professional		$119.42	$155.79	$231.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $134.93 / $198.08	Professional		$2.88	$134.93	$198.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $113.19 / $169.79	Professional		$2.16	$113.19	$169.79
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $163.38 / $247.69	Professional		$122.56	$163.38	$247.69