Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $1,706.00 / $4,396.00	Facility		$123.68	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $105.65 / $165.11	Professional		$77.65	$105.65	$165.11
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 $72.50 / $106.04 / $189.51	Professional		$72.50	$106.04	$189.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $75.53 / $80.77	Facility		$57.86	$75.53	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $120.84 / $200.00	Professional		$74.83	$120.84	$200.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $100.46 / $155.10	Professional		$47.32	$100.46	$155.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $63.09 / $562.80 / $562.80	Facility		$63.09	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $94.64 / $103.92	Professional		$69.28	$94.64	$103.92
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $131.25 / $226.60	Professional		$99.08	$131.25	$226.60