Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.92 / $1,706.00 / $4,473.00	Facility		$126.92	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $125.71 / $195.42	Professional		$42.26	$125.71	$195.42
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 $44.70 / $123.73 / $190.71	Professional		$44.70	$123.73	$190.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.75 / $185.59 / $206.22	Professional	50	$157.75	$185.59	$206.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $86.78 / $86.78	Facility		$86.78	$86.78	$86.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $108.50 / $216.07	Professional		$58.35	$108.50	$216.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $105.64 / $190.00	Professional		$29.61	$105.64	$190.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $441.55 / $441.55	Facility		$96.04	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $49.35 / $144.06	Professional		$32.90	$49.35	$144.06
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 $111.60 / $162.00 / $210.80	Professional		$111.60	$162.00	$210.80