Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $34.88 / $63.95	Facility		$31.74	$34.88	$63.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $56.65 / $173.35	Professional		$30.03	$56.65	$173.35
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 $32.92 / $37.15 / $58.43	Professional		$32.92	$37.15	$58.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Facility		$45.60	$45.60	$45.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $62.79 / $100.10	Professional		$32.64	$62.79	$100.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $51.75 / $105.10	Professional		$0.35	$51.75	$105.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $44.36 / $103.04	Professional		$0.24	$44.36	$103.04
United Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $1,055.00 / $1,975.00	Facility		$41.62	$1,055.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $73.62 / $112.14	Professional		$55.18	$73.62	$112.14