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 / $4,952.35	Facility		$750.00	$1,639.00	$4,952.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $543.27 / $732.69	Professional		$128.50	$543.27	$732.69
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 $140.24 / $432.96 / $802.87	Professional		$140.24	$432.96	$802.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $218.50 / $831.54	Professional		$120.04	$218.50	$831.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $466.83 / $859.95	Professional		$103.46	$466.83	$859.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $119.82 / $737.10	Professional		$108.91	$119.82	$737.10
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $547.55 / $882.13	Professional		$169.18	$547.55	$882.13