Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $1,706.00 / $4,473.00	Facility		$144.80	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $129.15 / $197.05	Professional		$98.52	$129.15	$197.05
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 $97.54 / $118.61 / $149.53	Professional		$97.54	$118.61	$149.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.24 / $169.69 / $188.55	Professional	50	$144.24	$169.69	$188.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $135.38 / $242.38	Professional		$95.62	$135.38	$242.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $128.94 / $1,311.23	Professional		$63.44	$128.94	$1,311.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $105.74 / $179.96	Professional		$70.48	$105.74	$179.96
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $140.49 / $224.66	Professional		$115.26	$140.49	$224.66