Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $1,706.00 / $4,473.00	Facility		$86.94	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $60.07 / $148.33	Professional		$31.30	$60.07	$148.33
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 $32.31 / $55.74 / $120.73	Professional		$32.31	$55.74	$120.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.44 / $124.05 / $151.76	Professional	50	$105.44	$124.05	$151.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $67.04 / $67.04	Facility		$67.04	$67.04	$67.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $54.42 / $118.13	Professional		$28.08	$54.42	$118.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $72.23 / $133.83	Professional		$25.11	$72.23	$133.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $37.67 / $104.10	Professional		$25.11	$37.67	$104.10
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 $59.20 / $80.84 / $145.54	Professional		$59.20	$80.84	$145.54