Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.65 / $1,706.00 / $4,473.00	Facility		$97.65	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $93.41 / $208.83	Professional		$50.17	$93.41	$208.83
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 $57.02 / $106.86 / $152.19	Professional		$57.02	$106.86	$152.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $109.41 / $191.06	Professional		$58.67	$109.41	$191.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $86.11 / $169.95	Professional		$43.05	$86.11	$169.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $441.55 / $441.55	Facility		$66.23	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $52.61 / $99.36	Professional		$45.32	$52.61	$99.36
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 $100.80 / $147.72 / $190.40	Professional		$100.80	$147.72	$190.40