Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.80 / $1,706.00 / $4,473.00	Facility		$354.80	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $220.58 / $381.27	Professional		$100.67	$220.58	$381.27
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 $105.90 / $141.66 / $300.45	Professional		$105.90	$141.66	$300.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $383.09 / $450.69 / $500.77	Professional	50	$383.09	$450.69	$500.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $168.46 / $168.46	Facility		$168.46	$168.46	$168.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $221.58 / $431.00	Professional		$96.87	$221.58	$431.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $190.00 / $443.22	Professional		$91.78	$190.00	$443.22
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 $101.98 / $152.97 / $272.67	Professional		$101.98	$152.97	$272.67
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 $241.03 / $290.75 / $509.14	Professional		$241.03	$290.75	$509.14