Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $3,959.00 / $10,300.00	Facility		$60.00	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $97.60 / $224.57	Professional		$55.89	$97.60	$224.57
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 $54.25 / $90.70 / $190.67	Professional		$54.25	$90.70	$190.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $93.94 / $93.94	Facility		$93.94	$93.94	$93.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $93.65 / $184.04	Professional		$53.02	$93.65	$184.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $103.33 / $198.93	Professional		$50.83	$103.33	$198.93
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 $50.83 / $76.25 / $140.91	Professional		$50.83	$76.25	$140.91
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 $92.16 / $135.33 / $220.87	Professional		$92.16	$135.33	$220.87