Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $1,639.00 / $4,396.00	Facility		$562.04	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $156.15 / $620.00	Professional		$36.64	$156.15	$620.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $54.23 / $183.84	Professional		$38.95	$54.23	$183.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.46 / $239.73 / $313.38	Professional	50	$54.46	$239.73	$313.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $130.63 / $286.92	Professional		$42.96	$130.63	$286.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $56.78 / $278.06	Professional		$30.27	$56.78	$278.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $50.45 / $272.61	Professional		$1.32	$50.45	$272.61
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 $148.04 / $200.60 / $304.64	Professional		$148.04	$200.60	$304.64