Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $256.86 / $282.20	Facility		$48.88	$256.86	$282.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $31.11 / $55.30	Professional		$16.97	$31.11	$55.30
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 $20.07 / $37.13 / $45.06	Professional		$20.07	$37.13	$45.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.94 / $34.77 / $45.01	Professional	50	$27.94	$34.77	$45.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $42.00 / $69.93	Professional		$21.60	$42.00	$69.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $28.68 / $58.85	Professional		$0.32	$28.68	$58.85
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $22.97 / $43.02	Professional		$0.24	$22.97	$43.02
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 $29.49 / $48.13 / $72.39	Professional		$29.49	$48.13	$72.39