Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $684.04 / $1,109.46	Professional		$130.29	$684.04	$1,109.46
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 $150.09 / $685.11 / $1,336.10	Professional		$150.09	$685.11	$1,336.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.64 / $691.45 / $739.41	Facility		$529.64	$691.45	$739.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $755.40 / $1,349.85	Professional		$138.38	$755.40	$1,349.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $493.86 / $1,090.64	Professional		$103.72	$493.86	$1,090.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $172.86 / $779.78	Professional		$115.24	$172.86	$779.78
United Facility/Professional Facility Modifier Low / Median / High Price $428.07 / $1,875.00 / $6,244.00	Facility		$428.07	$1,875.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.81 / $1,092.69 / $1,692.52	Professional		$794.81	$1,092.69	$1,692.52