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 / $10,300.00	Facility		$750.00	$1,713.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $118.83 / $532.00	Professional		$26.87	$118.83	$532.00
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 $32.29 / $35.85 / $57.81	Professional		$32.29	$35.85	$57.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $92.57 / $92.57	Facility		$92.57	$92.57	$92.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $117.30 / $196.89	Professional		$31.66	$117.30	$196.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $72.00 / $184.77	Professional		$0.64	$72.00	$184.77
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $38.51 / $175.41	Professional		$0.48	$38.51	$175.41
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $158.41 / $237.92	Professional		$116.48	$158.41	$237.92