Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.09 / $1,706.00 / $4,473.00	Facility		$203.09	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $172.53 / $325.44	Professional		$102.35	$172.53	$325.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $130.22 / $196.66	Professional		$109.59	$130.22	$196.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $250.75 / $295.00 / $327.78	Professional	50	$250.75	$295.00	$327.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Facility		$130.60	$130.60	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $159.38 / $280.45	Professional		$88.37	$159.38	$280.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $171.14 / $295.93	Professional		$91.23	$171.14	$295.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $107.88 / $202.83	Professional		$101.37	$107.88	$202.83
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 $156.66 / $213.61 / $325.70	Professional		$156.66	$213.61	$325.70