Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $1,706.00 / $4,473.00	Facility		$143.87	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $110.93 / $259.77	Professional		$90.71	$110.93	$259.77
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 $64.47 / $86.23 / $169.64	Professional		$64.47	$86.23	$169.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.30 / $209.89 / $262.99	Professional	50	$132.30	$209.89	$262.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $136.30 / $234.73	Professional		$83.31	$136.30	$234.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $120.42 / $209.07	Professional		$1.14	$120.42	$209.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $140.03 / $222.42	Professional		$0.78	$140.03	$222.42
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 $95.79 / $133.94 / $228.06	Professional		$95.79	$133.94	$228.06