Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.93 / $746.79 / $1,529.70	Facility		$416.93	$746.79	$1,529.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $105.04 / $364.00	Professional		$59.79	$105.04	$364.00
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 $68.64 / $112.86 / $153.55	Professional		$68.64	$112.86	$153.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $97.95 / $192.43	Professional		$53.84	$97.95	$192.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $98.21 / $208.44	Professional		$50.51	$98.21	$208.44
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 $1.08 / $56.12 / $109.84	Professional		$1.08	$56.12	$109.84
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 $107.44 / $135.00 / $220.28	Professional		$107.44	$135.00	$220.28