Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.79 / $1,639.00 / $4,396.00	Facility		$577.79	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $54.46 / $136.69	Professional		$24.17	$54.46	$136.69
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 $24.94 / $46.74 / $110.04	Professional		$24.94	$46.74	$110.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.08 / $113.37 / $138.88	Professional	50	$89.08	$113.37	$138.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $43.69 / $107.56	Professional		$18.94	$43.69	$107.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $34.11 / $125.55	Professional		$17.54	$34.11	$125.55
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 $0.42 / $21.15 / $78.72	Professional		$0.42	$21.15	$78.72
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 $49.32 / $73.50 / $132.30	Professional		$49.32	$73.50	$132.30