Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $1,706.00 / $4,473.00	Facility		$100.18	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $77.12 / $132.24	Professional		$61.04	$77.12	$132.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $76.53 / $92.83	Professional		$64.84	$76.53	$92.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.52 / $125.32 / $139.24	Professional	50	$106.52	$125.32	$139.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $50.03 / $50.03	Facility		$50.03	$50.03	$50.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $89.68 / $148.63	Professional		$66.03	$89.68	$148.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $84.13 / $131.38	Professional		$48.27	$84.13	$131.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.41 / $1,070.41 / $1,070.41	Facility		$1,070.41	$1,070.41	$1,070.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $78.95 / $90.14	Professional		$60.09	$78.95	$90.14
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $84.31 / $144.46	Professional		$68.47	$84.31	$144.46