Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $3,959.00 / $10,300.00	Facility		$63.86	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $145.72 / $328.13	Professional		$61.90	$145.72	$328.13
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 $62.96 / $74.18 / $118.42	Professional		$62.96	$74.18	$118.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $111.63 / $111.63	Facility		$111.63	$111.63	$111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $121.57 / $217.50	Professional		$58.39	$121.57	$217.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $118.12 / $226.67	Professional		$51.17	$118.12	$226.67
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $1,637.08 / $1,637.08	Facility		$118.12	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $62.74 / $177.18	Professional		$56.86	$62.74	$177.18
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 $130.44 / $163.09 / $245.14	Professional		$130.44	$163.09	$245.14