Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $1,706.00 / $4,473.00	Facility		$105.79	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $105.79 / $630.47	Professional		$73.20	$105.79	$630.47
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 $83.26 / $95.15 / $140.66	Professional		$83.26	$95.15	$140.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $123.15 / $190.59	Professional		$74.91	$123.15	$190.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $111.81 / $198.70	Professional		$63.49	$111.81	$198.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $962.32 / $962.32	Facility		$66.94	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $76.31 / $112.86	Professional		$70.54	$76.31	$112.86
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $156.15 / $229.97	Professional		$122.24	$156.15	$229.97