Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $3,959.00 / $10,300.00	Facility		$70.00	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $115.12 / $254.96	Professional		$65.09	$115.12	$254.96
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 $59.87 / $99.26 / $210.59	Professional		$59.87	$99.26	$210.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $108.22 / $108.22	Facility		$108.22	$108.22	$108.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $106.57 / $203.25	Professional		$60.90	$106.57	$203.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $119.90 / $226.53	Professional		$59.74	$119.90	$226.53
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 $59.74 / $89.61 / $163.50	Professional		$59.74	$89.61	$163.50
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 $101.18 / $160.19 / $298.89	Professional		$101.18	$160.19	$298.89