Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $1,639.00 / $4,396.00	Facility		$103.32	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $91.46 / $163.34	Professional		$51.42	$91.46	$163.34
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 $52.81 / $96.63 / $154.22	Professional		$52.81	$96.63	$154.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $87.52 / $93.60	Facility		$67.04	$87.52	$93.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $97.88 / $177.00	Professional		$53.56	$97.88	$177.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $82.85 / $141.72	Professional		$42.61	$82.85	$141.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $777.59 / $777.59	Facility		$70.11	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $71.01 / $105.17	Professional		$47.34	$71.01	$105.17
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $117.99 / $195.50	Professional		$92.10	$117.99	$195.50