Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.13 / $3,959.00 / $10,300.00	Facility		$67.13	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $113.62 / $175.80	Professional		$63.50	$113.62	$175.80
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 $60.46 / $104.40 / $206.52	Professional		$60.46	$104.40	$206.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $110.10 / $199.35	Professional		$61.99	$110.10	$199.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $96.35 / $221.49	Professional		$51.36	$96.35	$221.49
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $68.45 / $145.44	Professional		$1.32	$68.45	$145.44
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 $108.28 / $153.65 / $276.56	Professional		$108.28	$153.65	$276.56