Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $45.02 / $67.53	Professional		$39.27	$45.02	$67.53
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 $38.42 / $46.62 / $69.00	Professional		$38.42	$46.62	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $54.97 / $89.95	Professional		$39.06	$54.97	$89.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $47.60 / $63.59	Professional		$1.44	$47.60	$63.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $42.36 / $57.12	Professional		$1.08	$42.36	$57.12
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 $41.09 / $50.32 / $91.12	Professional		$41.09	$50.32	$91.12