Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $3,959.00 / $10,300.00	Facility		$47.33	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $89.04 / $262.97	Professional		$45.43	$89.04	$262.97
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 $43.94 / $54.83 / $90.83	Professional		$43.94	$54.83	$90.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $66.02 / $66.02	Facility		$66.02	$66.02	$66.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $86.25 / $151.84	Professional		$44.78	$86.25	$151.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $73.63 / $155.63	Professional		$35.18	$73.63	$155.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $256.64 / $256.64	Facility		$66.94	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $44.23 / $100.41	Professional		$37.03	$44.23	$100.41
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $117.26 / $170.19	Professional		$97.08	$117.26	$170.19