Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $3,959.00 / $10,300.00	Facility		$47.00	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $88.35 / $200.10	Professional		$46.65	$88.35	$200.10
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 $45.36 / $76.59 / $163.95	Professional		$45.36	$76.59	$163.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.32 / $148.62 / $206.08	Professional	50	$126.32	$148.62	$206.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $79.62 / $160.76	Professional		$44.19	$79.62	$160.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $68.51 / $179.33	Professional		$36.28	$68.51	$179.33
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 $1.02 / $46.50 / $116.37	Professional		$1.02	$46.50	$116.37
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 $82.10 / $122.50 / $220.50	Professional		$82.10	$122.50	$220.50