Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $33.38 / $57.95	Facility		$30.38	$33.38	$57.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $50.55 / $167.13	Professional		$28.94	$50.55	$167.13
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 $35.47 / $41.84 / $55.54	Professional		$35.47	$41.84	$55.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $53.34 / $89.83	Professional		$31.16	$53.34	$89.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $43.42 / $89.22	Professional		$1.60	$43.42	$89.22
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Facility		$27.07	$27.07	$27.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $39.00 / $81.63	Professional		$1.20	$39.00	$81.63
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 $47.68 / $64.06 / $96.40	Professional		$47.68	$64.06	$96.40