Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $3,959.00 / $10,300.00	Facility		$60.44	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $84.03 / $326.45	Professional		$52.09	$84.03	$326.45
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 $64.81 / $99.11 / $137.08	Professional		$64.81	$99.11	$137.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $49.69 / $49.69	Facility		$49.69	$49.69	$49.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $88.23 / $141.74	Professional		$54.30	$88.23	$141.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $82.67 / $153.38	Professional		$46.28	$82.67	$153.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $222.33 / $222.33	Facility		$53.28	$222.33	$222.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $54.40 / $87.72	Professional		$48.72	$54.40	$87.72
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 $82.56 / $102.40 / $156.16	Professional		$82.56	$102.40	$156.16