Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.68 / $1,639.00 / $4,396.00	Facility		$228.68	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $45.89 / $118.35	Professional		$17.03	$45.89	$118.35
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 $17.89 / $38.72 / $96.23	Professional		$17.89	$38.72	$96.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.07 / $100.02 / $119.84	Professional	50	$63.07	$100.02	$119.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $36.00 / $94.12	Professional		$15.63	$36.00	$94.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $23.68 / $108.55	Professional		$12.18	$23.68	$108.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $14.73 / $67.78	Professional		$0.30	$14.73	$67.78
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 $40.01 / $62.30 / $112.14	Professional		$40.01	$62.30	$112.14