Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.24 / $677.88 / $2,053.05	Facility		$354.24	$677.88	$2,053.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $90.42 / $239.81	Professional		$45.68	$90.42	$239.81
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 $52.47 / $96.71 / $140.00	Professional		$52.47	$96.71	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $78.56 / $176.86	Professional		$41.40	$78.56	$176.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $75.43 / $182.70	Professional		$38.79	$75.43	$182.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $43.10 / $90.41	Professional		$0.78	$43.10	$90.41
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 $87.72 / $120.46 / $190.75	Professional		$87.72	$120.46	$190.75