Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.68 / $851.58 / $4,473.00	Facility		$228.68	$851.58	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $107.43 / $279.58	Professional		$59.21	$107.43	$279.58
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 $67.84 / $119.73 / $169.11	Professional		$67.84	$119.73	$169.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $103.02 / $205.78	Professional		$56.93	$103.02	$205.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $94.99 / $217.77	Professional		$48.85	$94.99	$217.77
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 $1.02 / $54.75 / $112.33	Professional		$1.02	$54.75	$112.33
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 $111.86 / $148.49 / $242.01	Professional		$111.86	$148.49	$242.01