Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $1,706.00 / $4,473.00	Facility		$105.73	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $90.32 / $166.50	Professional		$73.62	$90.32	$166.50
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 $70.30 / $77.45 / $100.13	Professional		$70.30	$77.45	$100.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $43.22 / $43.22	Facility		$43.22	$43.22	$43.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $91.57 / $159.93	Professional		$69.52	$91.57	$159.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $88.27 / $141.01	Professional		$41.32	$88.27	$141.01
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 $57.69 / $68.87 / $86.54	Professional		$57.69	$68.87	$86.54
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 $69.73 / $87.16 / $145.69	Professional		$69.73	$87.16	$145.69