Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $3,959.00 / $10,300.00	Facility		$49.64	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $72.06 / $252.19	Professional		$45.08	$72.06	$252.19
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 $53.44 / $81.72 / $121.96	Professional		$53.44	$81.72	$121.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $47.65 / $47.65	Facility		$47.65	$47.65	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $73.45 / $124.13	Professional		$43.06	$73.45	$124.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $71.51 / $138.59	Professional		$36.77	$71.51	$138.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $336.18 / $336.18	Facility		$50.82	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $45.77 / $79.41	Professional		$40.86	$45.77	$79.41
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $93.32 / $149.77	Professional		$77.59	$93.32	$149.77