Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $2,173.00 / $4,841.00	Facility		$147.52	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $119.33 / $181.66	Professional		$95.95	$119.33	$181.66
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 $101.99 / $118.47 / $142.56	Professional		$101.99	$118.47	$142.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $155.72 / $183.20 / $203.56	Professional	50	$155.72	$183.20	$203.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $71.47 / $71.47	Facility		$71.47	$71.47	$71.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $135.44 / $267.00	Professional		$91.76	$135.44	$267.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $126.44 / $190.00	Professional		$68.14	$126.44	$190.00
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 $94.40 / $113.57 / $141.60	Professional		$94.40	$113.57	$141.60
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $123.17 / $231.89	Professional		$98.54	$123.17	$231.89