Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $1,706.00 / $4,473.00	Facility		$55.73	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $45.78 / $89.53	Professional		$25.23	$45.78	$89.53
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 $25.12 / $42.37 / $78.34	Professional		$25.12	$42.37	$78.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $38.11	Facility		$38.11	$38.11	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $44.23 / $83.00	Professional		$25.08	$44.23	$83.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $43.57 / $88.91	Professional		$23.77	$43.57	$88.91
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $35.65 / $59.42	Professional		$23.77	$35.65	$59.42
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 $41.86 / $57.86 / $95.00	Professional		$41.86	$57.86	$95.00