Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $3,959.00 / $10,300.00	Facility		$76.48	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $78.12 / $319.52	Professional		$64.18	$78.12	$319.52
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 $64.17 / $72.19 / $98.83	Professional		$64.17	$72.19	$98.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $34.71 / $34.71	Facility		$34.71	$34.71	$34.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $88.00 / $152.82	Professional		$64.28	$88.00	$152.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $82.04 / $135.66	Professional		$35.65	$82.04	$135.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $61.92 / $82.02	Professional		$54.68	$61.92	$82.02
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 $70.38 / $80.73 / $130.41	Professional		$70.38	$80.73	$130.41