Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.67 / $3,959.00 / $10,300.00	Facility		$121.67	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $121.67 / $182.11	Professional		$99.62	$121.67	$182.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,352.37	Facility		$3,671.00	$5,123.00	$8,352.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $126.22 / $208.12	Professional		$101.45	$126.22	$208.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $135.16 / $218.78	Professional		$96.22	$135.16	$218.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $117.52 / $171.38	Professional		$2.40	$117.52	$171.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $97.93 / $146.90	Professional		$1.80	$97.93	$146.90
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $130.60 / $218.03	Professional		$101.73	$130.60	$218.03