Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.23 / $894.60 / $3,605.00	Facility		$330.23	$894.60	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $72.73 / $268.35	Professional		$32.59	$72.73	$268.35
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 $31.18 / $64.04 / $121.37	Professional		$31.18	$64.04	$121.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.01 / $110.60 / $154.90	Professional	50	$94.01	$110.60	$154.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $65.52 / $117.41	Professional		$30.37	$65.52	$117.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $58.50 / $139.28	Professional		$31.53	$58.50	$139.28
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 $0.48 / $36.20 / $81.81	Professional		$0.48	$36.20	$81.81
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 $63.72 / $87.12 / $152.47	Professional		$63.72	$87.12	$152.47