Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $808.50 / $4,396.00	Facility		$375.00	$808.50	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $104.61 / $450.00	Professional		$62.72	$104.61	$450.00
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 $74.29 / $108.66 / $167.32	Professional		$74.29	$108.66	$167.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $61.26 / $61.26	Facility		$61.26	$61.26	$61.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $97.98 / $165.99	Professional		$57.52	$97.98	$165.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $95.59 / $184.45	Professional		$45.00	$95.59	$184.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $336.18 / $336.18	Facility		$66.23	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $62.99 / $105.04	Professional		$56.62	$62.99	$105.04
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 $97.48 / $119.31 / $185.41	Professional		$97.48	$119.31	$185.41