Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.19 / $1,706.00 / $4,473.00	Facility		$93.19	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $68.93 / $202.64	Professional		$39.53	$68.93	$202.64
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 $42.83 / $69.33 / $110.37	Professional		$42.83	$69.33	$110.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $44.93 / $44.93	Facility		$44.93	$44.93	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $59.48 / $102.82	Professional		$33.38	$59.48	$102.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $58.17 / $123.63	Professional		$29.92	$58.17	$123.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $268.79 / $268.79	Facility		$48.37	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $37.02 / $72.56	Professional		$33.24	$37.02	$72.56
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $78.63 / $122.29	Professional		$68.25	$78.63	$122.29