Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $3,959.00 / $10,300.00	Facility		$73.40	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $93.79 / $364.19	Professional		$64.13	$93.79	$364.19
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 $61.45 / $74.56 / $112.62	Professional		$61.45	$74.56	$112.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $70.09	Facility		$70.09	$70.09	$70.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $103.17 / $159.91	Professional		$67.41	$103.17	$159.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $98.84 / $171.68	Professional		$1.14	$98.84	$171.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $99.17 / $169.38	Professional		$0.78	$99.17	$169.38
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 $82.34 / $108.00 / $175.77	Professional		$82.34	$108.00	$175.77