Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $3,959.00 / $10,300.00	Facility		$64.41	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $108.15 / $190.22	Professional		$61.34	$108.15	$190.22
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 $61.03 / $69.75 / $115.54	Professional		$61.03	$69.75	$115.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $80.98 / $80.98	Facility		$80.98	$80.98	$80.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $98.06 / $168.73	Professional		$50.81	$98.06	$168.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $95.23 / $185.42	Professional		$48.00	$95.23	$185.42
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $562.80 / $562.80	Facility		$86.57	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $58.59 / $129.86	Professional		$53.52	$58.59	$129.86
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $130.78 / $195.31	Professional		$95.21	$130.78	$195.31