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 / $4,396.00	Facility		$750.00	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $148.75 / $605.07	Professional		$104.59	$148.75	$605.07
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 $115.19 / $133.33 / $205.91	Professional		$115.19	$133.33	$205.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $107.20 / $107.20	Facility		$107.20	$107.20	$107.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $176.34 / $286.33	Professional		$119.05	$176.34	$286.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $154.15 / $268.06	Professional		$2.24	$154.15	$268.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $152.01 / $282.92	Professional		$1.68	$152.01	$282.92
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 $151.59 / $205.38 / $311.52	Professional		$151.59	$205.38	$311.52