Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $1,639.00 / $4,473.00	Facility		$100.68	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $88.23 / $386.00	Professional		$56.01	$88.23	$386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $100.15 / $146.16	Professional		$66.33	$100.15	$146.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $54.45	Facility		$54.45	$54.45	$54.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $85.35 / $142.25	Professional		$56.26	$85.35	$142.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $84.70 / $155.06	Professional		$47.77	$84.70	$155.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $962.32 / $962.32	Facility		$54.33	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $56.40 / $91.98	Professional		$50.72	$56.40	$91.98
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $103.46 / $162.50	Professional		$84.24	$103.46	$162.50