Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.25 / $3,842.00 / $8,166.00	Facility		$702.25	$3,842.00	$8,166.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $87.68 / $279.48	Professional		$51.85	$87.68	$279.48
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 $53.27 / $59.12 / $90.86	Professional		$53.27	$59.12	$90.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.55 / $122.99 / $151.96	Professional	50	$98.55	$122.99	$151.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $68.41 / $68.41	Facility		$68.41	$68.41	$68.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $92.51 / $163.02	Professional		$60.03	$92.51	$163.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $95.01 / $201.92	Professional		$1.06	$95.01	$201.92
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 $0.72 / $90.20 / $200.54	Professional		$0.72	$90.20	$200.54
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 $67.06 / $92.67 / $176.96	Professional		$67.06	$92.67	$176.96