Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $1,639.00 / $4,473.00	Facility		$78.64	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $73.12 / $109.68	Professional		$54.92	$73.12	$109.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $76.84 / $126.53	Professional		$53.75	$76.84	$126.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $60.42 / $64.62	Facility		$46.28	$60.42	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $85.47 / $141.55	Professional		$53.94	$85.47	$141.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $73.84 / $115.15	Professional		$37.86	$73.84	$115.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $1,637.08 / $1,637.08	Facility		$50.48	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $72.17 / $79.28	Professional		$52.85	$72.17	$79.28
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $90.00 / $147.44	Professional		$69.75	$90.00	$147.44