Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.49 / $697.41 / $2,150.00	Facility		$376.49	$697.41	$2,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $107.81 / $382.00	Professional		$55.56	$107.81	$382.00
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 $64.30 / $105.15 / $153.72	Professional		$64.30	$105.15	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $94.28 / $190.08	Professional		$50.78	$94.28	$190.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $93.05 / $209.03	Professional		$47.85	$93.05	$209.03
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 $0.84 / $53.17 / $107.95	Professional		$0.84	$53.17	$107.95
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 $89.14 / $130.86 / $208.76	Professional		$89.14	$130.86	$208.76