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 $162.91 / $203.10 / $673.71	Professional		$162.91	$203.10	$673.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $226.59 / $488.40	Professional		$172.40	$226.59	$488.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $225.49 / $615.91	Professional		$155.22	$225.49	$615.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $305.02 / $1,027.25	Professional		$5.83	$305.02	$1,027.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $261.45 / $839.19	Professional		$174.30	$261.45	$839.19
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 $163.34 / $226.31 / $664.51	Professional		$163.34	$226.31	$664.51