Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $2,173.00 / $4,841.00	Facility		$92.70	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $89.39 / $244.27	Professional		$41.75	$89.39	$244.27
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 $44.52 / $51.17 / $78.23	Professional		$44.52	$51.17	$78.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.56 / $59.56 / $59.56	Facility		$59.56	$59.56	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $109.20 / $170.99	Professional		$48.09	$109.20	$170.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $70.15 / $152.97	Professional		$1.20	$70.15	$152.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $331.45 / $331.45 / $331.45	Facility		$331.45	$331.45	$331.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $58.46 / $145.22	Professional		$0.90	$58.46	$145.22
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 $94.98 / $145.15 / $207.54	Professional		$94.98	$145.15	$207.54