Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $4,396.00 / $10,300.00	Facility		$89.78	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $89.78 / $132.53	Professional		$74.95	$89.78	$132.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.00 / $4,589.00 / $6,006.00	Facility		$3,474.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $95.18 / $153.12	Professional		$74.45	$95.18	$153.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $98.54 / $145.99	Professional		$74.59	$98.54	$145.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $84.85 / $125.39	Professional		$1.84	$84.85	$125.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $71.65 / $107.48	Professional		$1.38	$71.65	$107.48
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 $77.50 / $102.06 / $159.07	Professional		$77.50	$102.06	$159.07