Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $1,706.00 / $4,473.00	Facility		$88.81	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $80.34 / $357.86	Professional		$64.09	$80.34	$357.86
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 $66.95 / $78.28 / $113.02	Professional		$66.95	$78.28	$113.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.42 / $132.00 / $153.33	Professional	50	$100.42	$132.00	$153.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $48.33 / $48.33	Facility		$48.33	$48.33	$48.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $93.48 / $144.88	Professional		$66.83	$93.48	$144.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $79.70 / $141.77	Professional		$0.88	$79.70	$141.77
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 $0.66 / $74.13 / $134.60	Professional		$0.66	$74.13	$134.60
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 $77.50 / $105.00 / $164.99	Professional		$77.50	$105.00	$164.99