Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $1,639.00 / $4,396.00	Facility		$54.83	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $108.14 / $434.37	Professional		$47.62	$108.14	$434.37
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 $48.64 / $97.83 / $146.33	Professional		$48.64	$97.83	$146.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $57.17 / $57.17	Facility		$57.17	$57.17	$57.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $103.14 / $181.55	Professional		$54.30	$103.14	$181.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $81.58 / $139.69	Professional		$37.47	$81.58	$139.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $737.67 / $737.67	Facility		$62.75	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $56.21 / $136.94	Professional		$0.48	$56.21	$136.94
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 $78.54 / $119.32 / $173.73	Professional		$78.54	$119.32	$173.73