Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $1,508.00 / $4,396.00	Facility		$111.09	$1,508.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $38.99 / $75.47	Professional		$21.82	$38.99	$75.47
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 $22.44 / $34.47 / $58.87	Professional		$22.44	$34.47	$58.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.96 / $51.71 / $95.88	Professional	50	$43.96	$51.71	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $36.21 / $67.08	Professional		$20.66	$36.21	$67.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $36.93 / $69.50	Professional		$18.98	$36.93	$69.50
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 $0.54 / $22.76 / $43.47	Professional		$0.54	$22.76	$43.47
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 $37.47 / $47.30 / $81.28	Professional		$37.47	$47.30	$81.28