Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.70 / $1,706.00 / $4,473.00	Facility		$126.70	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $101.28 / $135.72	Professional		$81.00	$101.28	$135.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $94.36 / $128.75	Professional		$87.39	$94.36	$128.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.31 / $141.54 / $157.27	Professional	50	$120.31	$141.54	$157.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $70.09	Facility		$70.09	$70.09	$70.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $121.94 / $250.00	Professional		$83.51	$121.94	$250.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $117.68 / $183.21	Professional		$67.50	$117.68	$183.21
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 $90.52 / $100.57 / $135.78	Professional		$90.52	$100.57	$135.78
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 $97.40 / $109.75 / $195.31	Professional		$97.40	$109.75	$195.31