Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $4,396.00 / $10,300.00	Facility		$75.97	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $72.66 / $116.64	Professional		$68.61	$72.66	$116.64
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 $59.62 / $92.73 / $142.86	Professional		$59.62	$92.73	$142.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $86.70 / $132.66	Professional		$60.69	$86.70	$132.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.56 / $190.00	Professional		$0.49	$0.56	$190.00
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 $0.42 / $0.42 / $0.42	Professional		$0.42	$0.42	$0.42
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 $56.42 / $75.95 / $136.69	Professional		$56.42	$75.95	$136.69