Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $1,639.00 / $4,473.00	Facility		$132.91	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $110.87 / $222.81	Professional		$56.88	$110.87	$222.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $112.99 / $195.55	Professional		$57.98	$112.99	$195.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $112.06 / $196.67	Professional		$56.77	$112.06	$196.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $106.64 / $205.18	Professional		$49.94	$106.64	$205.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $104.45 / $3,584.18 / $3,584.18	Facility		$104.45	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $59.34 / $156.68	Professional		$54.97	$59.34	$156.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $152.03 / $220.81	Professional		$121.38	$152.03	$220.81