Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $3,959.00 / $10,300.00	Facility		$50.09	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $61.09 / $120.90	Professional		$41.47	$61.09	$120.90
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 $41.52 / $61.28 / $107.50	Professional		$41.52	$61.28	$107.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $69.95 / $122.71	Professional		$40.34	$69.95	$122.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $68.70 / $131.97	Professional		$43.60	$68.70	$131.97
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 $43.60 / $65.40 / $87.81	Professional		$43.60	$65.40	$87.81
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 $65.16 / $81.36 / $142.38	Professional		$65.16	$81.36	$142.38