Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $70.73 / $99.11	Facility		$64.37	$70.73	$99.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $90.19 / $442.00	Professional		$62.09	$90.19	$442.00
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 $64.05 / $75.04 / $113.02	Professional		$64.05	$75.04	$113.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.39 / $67.39 / $67.39	Facility		$67.39	$67.39	$67.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $100.61 / $153.62	Professional		$63.92	$100.61	$153.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $92.11 / $162.27	Professional		$0.53	$92.11	$162.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $93.90 / $159.09	Professional		$0.36	$93.90	$159.09
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 $82.21 / $107.20 / $165.82	Professional		$82.21	$107.20	$165.82