Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.72 / $1,713.00 / $4,473.00	Facility		$107.72	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $90.21 / $342.28	Professional		$62.10	$90.21	$342.28
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 $72.01 / $101.55 / $156.24	Professional		$72.01	$101.55	$156.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $57.86 / $57.86	Facility		$57.86	$57.86	$57.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $90.56 / $150.94	Professional		$55.52	$90.56	$150.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $92.54 / $173.75	Professional		$52.30	$92.54	$173.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $962.32 / $962.32	Facility		$61.69	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $62.71 / $99.26	Professional		$57.24	$62.71	$99.26
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 $77.98 / $110.40 / $959.00	Professional		$77.98	$110.40	$959.00