Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.07 / $1,706.00 / $4,473.00	Facility		$266.07	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $181.84 / $287.04	Professional		$121.34	$181.84	$287.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $167.51 / $235.18	Professional		$129.81	$167.51	$235.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $284.07 / $334.20 / $371.34	Professional	50	$284.07	$334.20	$371.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.49 / $153.49 / $153.49	Facility		$153.49	$153.49	$153.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $225.22 / $403.10	Professional		$115.59	$225.22	$403.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $187.86 / $329.79	Professional		$100.60	$187.86	$329.79
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 $111.78 / $167.67 / $232.40	Professional		$111.78	$167.67	$232.40
United Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $2,200.00 / $6,244.00	Facility		$166.12	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $221.83 / $385.56	Professional		$186.58	$221.83	$385.56