Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.75 / $1,706.00 / $4,473.00	Facility		$88.75	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $88.45 / $152.16	Professional		$66.62	$88.45	$152.16
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 $64.51 / $84.52 / $124.09	Professional		$64.51	$84.52	$124.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $86.62 / $153.80	Professional		$59.87	$86.62	$153.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $87.18 / $148.41	Professional		$1.28	$87.18	$148.41
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $52.61 / $90.78	Professional		$0.66	$52.61	$90.78
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 $89.47 / $99.87 / $169.47	Professional		$89.47	$99.87	$169.47