Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $750.00 / $3,605.00	Facility		$206.50	$750.00	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $76.59 / $145.75	Professional		$50.01	$76.59	$145.75
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 $45.66 / $68.54 / $113.85	Professional		$45.66	$68.54	$113.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $72.48 / $132.94	Professional		$44.87	$72.48	$132.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $83.39 / $142.99	Professional		$0.70	$83.39	$142.99
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 $0.36 / $54.01 / $82.80	Professional		$0.36	$54.01	$82.80
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 $73.92 / $86.21 / $150.59	Professional		$73.92	$86.21	$150.59