Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $27.90 / $93.09	Facility		$18.77	$27.90	$93.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $30.94 / $54.43	Professional		$18.77	$30.94	$54.43
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 $21.98 / $35.04 / $42.53	Professional		$21.98	$35.04	$42.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $41.39 / $68.27	Professional		$24.04	$41.39	$68.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $29.85 / $57.02	Professional		$0.24	$29.85	$57.02
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 / $25.22 / $44.78	Professional		$0.18	$25.22	$44.78
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 $29.92 / $47.05 / $70.51	Professional		$29.92	$47.05	$70.51