Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,408.50	Facility		$750.00	$1,713.00	$4,408.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $216.21 / $633.21	Professional		$103.76	$216.21	$633.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $208.76 / $233.92	Professional		$114.52	$208.76	$233.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $223.01 / $433.63	Professional		$126.95	$223.01	$433.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $168.26 / $369.89	Professional		$74.75	$168.26	$369.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $873.16 / $873.16 / $873.16	Facility		$873.16	$873.16	$873.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $149.49 / $362.64	Professional		$1.80	$149.49	$362.64
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $314.02 / $494.36	Professional		$232.64	$314.02	$494.36