Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.84 / $979.73 / $3,605.00	Facility		$537.84	$979.73	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $115.76 / $213.68	Professional		$71.70	$115.76	$213.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $132.12 / $180.70	Professional		$84.82	$132.12	$180.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $119.09 / $223.46	Professional		$66.28	$119.09	$223.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $123.06 / $241.99	Professional		$63.29	$123.06	$241.99
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 $1.26 / $70.31 / $127.65	Professional		$1.26	$70.31	$127.65
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 $123.12 / $158.40 / $250.92	Professional		$123.12	$158.40	$250.92