Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $1,706.00 / $4,396.00	Facility		$96.79	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $94.75 / $275.95	Professional		$57.09	$94.75	$275.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $65.56 / $108.99	Professional		$51.74	$65.56	$108.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.33 / $113.73 / $169.47	Professional	50	$97.33	$113.73	$169.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $105.30 / $225.23	Professional		$61.39	$105.30	$225.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $98.19 / $398.02	Professional		$1.32	$98.19	$398.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $77.93 / $606.89	Professional		$0.90	$77.93	$606.89
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 $95.17 / $149.74 / $239.75	Professional		$95.17	$149.74	$239.75