Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.69 / $911.00 / $4,396.00	Facility		$178.69	$911.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $43.78 / $102.33	Professional		$27.19	$43.78	$102.33
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 $25.47 / $38.36 / $76.98	Professional		$25.47	$38.36	$76.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.66 / $69.01 / $132.25	Professional	50	$58.66	$69.01	$132.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $44.23 / $74.23	Professional		$26.64	$44.23	$74.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $49.38 / $87.71	Professional		$25.70	$49.38	$87.71
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $31.87 / $55.81	Professional		$0.36	$31.87	$55.81
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 $39.52 / $53.20 / $95.77	Professional		$39.52	$53.20	$95.77