Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $3,959.00 / $10,300.00	Facility		$71.09	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $99.37 / $181.66	Professional		$68.01	$99.37	$181.66
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 $58.78 / $86.68 / $144.24	Professional		$58.78	$86.68	$144.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Facility		$64.67	$64.67	$64.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $96.60 / $169.35	Professional		$63.50	$96.60	$169.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $93.28 / $175.37	Professional		$60.97	$93.28	$175.37
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $91.46 / $112.50	Professional		$60.97	$91.46	$112.50
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 $88.32 / $107.79 / $194.10	Professional		$88.32	$107.79	$194.10