Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $73.12 / $1,284.90	Facility		$41.62	$73.12	$1,284.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $61.89 / $115.77	Professional		$39.07	$61.89	$115.77
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 $37.86 / $56.54 / $101.90	Professional		$37.86	$56.54	$101.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $60.22 / $111.81	Professional		$38.06	$60.22	$111.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $65.19 / $138.57	Professional		$0.57	$65.19	$138.57
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 $0.30 / $43.56 / $77.52	Professional		$0.30	$43.56	$77.52
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 $59.46 / $75.23 / $131.68	Professional		$59.46	$75.23	$131.68