Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $1,639.00 / $4,396.00	Facility		$217.08	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $28.91 / $54.25	Professional		$12.96	$28.91	$54.25
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 $13.18 / $24.57 / $43.47	Professional		$13.18	$24.57	$43.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.29 / $39.17 / $57.63	Professional	50	$33.29	$39.17	$57.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $26.14 / $45.75	Professional		$12.31	$26.14	$45.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $21.89 / $50.51	Professional		$11.28	$21.89	$50.51
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 $0.30 / $13.76 / $31.87	Professional		$0.30	$13.76	$31.87
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 $25.92 / $32.76 / $58.58	Professional		$25.92	$32.76	$58.58