Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $3,959.00 / $10,300.00	Facility		$7.76	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $13.61 / $26.99	Professional		$6.84	$13.61	$26.99
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 $7.07 / $13.65 / $20.50	Professional		$7.07	$13.65	$20.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $15.66 / $18.42 / $30.09	Professional	50	$15.66	$18.42	$30.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $13.98 / $23.54	Professional		$6.41	$13.98	$23.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $11.60 / $21.89	Professional		$5.97	$11.60	$21.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $7.07 / $13.86	Professional		$0.18	$7.07	$13.86
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 $13.60 / $17.20 / $29.71	Professional		$13.60	$17.20	$29.71