Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $53.58 / $100.46	Facility		$51.03	$53.58	$100.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $82.63 / $154.49	Professional		$51.03	$82.63	$154.49
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 $54.58 / $89.97 / $137.59	Professional		$54.58	$89.97	$137.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Facility		$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $74.00 / $135.02	Professional		$45.61	$74.00	$135.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $79.37 / $147.28	Professional		$39.95	$79.37	$147.28
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $214.56 / $214.56	Facility		$69.75	$214.56	$214.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $48.17 / $104.63	Professional		$44.39	$48.17	$104.63
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 $71.16 / $100.02 / $592.00	Professional		$71.16	$100.02	$592.00