Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $11.71 / $19.67	Facility		$10.65	$11.71	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $17.89 / $49.19	Professional		$10.65	$17.89	$49.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
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 $12.50 / $30.34 / $36.82	Professional		$12.50	$30.34	$36.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.89 / $21.70 / $28.75	Professional	50	$16.89	$21.70	$28.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $25.42 / $48.00	Professional		$13.46	$25.42	$48.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $18.11 / $35.45	Professional		$0.24	$18.11	$35.45
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 / $14.37 / $28.91	Professional		$0.18	$14.37	$28.91
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 $16.57 / $29.16 / $50.40	Professional		$16.57	$29.16	$50.40