Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $1,706.00 / $4,473.00	Facility		$80.95	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $79.34 / $228.18	Professional		$42.24	$79.34	$228.18
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 $48.64 / $65.48 / $87.60	Professional		$48.64	$65.48	$87.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $51.05	Facility		$51.05	$51.05	$51.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $109.97 / $195.12	Professional		$56.71	$109.97	$195.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $67.02 / $141.68	Professional		$1.32	$67.02	$141.68
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 / $57.05 / $111.71	Professional		$0.90	$57.05	$111.71
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 $64.79 / $138.52 / $275.89	Professional		$64.79	$138.52	$275.89