Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $1,706.00 / $4,473.00	Facility		$91.76	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $69.27 / $166.00	Professional		$52.78	$69.27	$166.00
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 $70.93 / $93.45 / $123.53	Professional		$70.93	$93.45	$123.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Facility		$50.37	$50.37	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $90.29 / $142.24	Professional		$63.38	$90.29	$142.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $77.50 / $135.00	Professional		$1.20	$77.50	$135.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $85.13 / $139.79	Professional		$0.90	$85.13	$139.79
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 $75.33 / $104.49 / $153.10	Professional		$75.33	$104.49	$153.10