Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $3,959.00 / $10,300.00	Facility		$117.52	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $111.48 / $182.42	Professional		$89.37	$111.48	$182.42
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 $96.29 / $111.05 / $130.53	Professional		$96.29	$111.05	$130.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.38 / $173.39 / $192.66	Professional	50	$147.38	$173.39	$192.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $129.08 / $291.00	Professional		$86.30	$129.08	$291.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $124.75 / $192.08	Professional		$42.00	$124.75	$192.08
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $97.08 / $127.40	Professional		$0.36	$97.08	$127.40
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 $96.90 / $119.89 / $217.37	Professional		$96.90	$119.89	$217.37