Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.11 / $1,706.00 / $4,730.00	Facility		$351.11	$1,706.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $61.05 / $283.00	Professional		$38.17	$61.05	$283.00
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 $44.33 / $60.26 / $87.99	Professional		$44.33	$60.26	$87.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Facility		$39.82	$39.82	$39.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $66.31 / $103.99	Professional		$43.21	$66.31	$103.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $55.21 / $101.65	Professional		$0.53	$55.21	$101.65
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 $0.36 / $54.38 / $101.01	Professional		$0.36	$54.38	$101.01
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 $52.95 / $70.40 / $108.52	Professional		$52.95	$70.40	$108.52