Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $28.22 / $249.76	Facility		$18.45	$28.22	$249.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $28.87 / $72.38	Professional		$18.45	$28.87	$72.38
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 $21.60 / $36.77 / $44.62	Professional		$21.60	$36.77	$44.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $41.86 / $68.97	Professional		$23.11	$41.86	$68.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $28.63 / $58.13	Professional		$0.24	$28.63	$58.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $23.39 / $42.95	Professional		$0.18	$23.39	$42.95
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 $28.56 / $46.24 / $70.56	Professional		$28.56	$46.24	$70.56