Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $45.18 / $87.05	Facility		$41.11	$45.18	$87.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $79.22 / $226.99	Professional		$39.82	$79.22	$226.99
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 $43.13 / $48.26 / $78.39	Professional		$43.13	$48.26	$78.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $63.98 / $63.98	Facility		$63.98	$63.98	$63.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $79.91 / $134.93	Professional		$42.88	$79.91	$134.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $69.50 / $144.69	Professional		$0.26	$69.50	$144.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $56.97 / $146.24	Professional		$0.18	$56.97	$146.24
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 $70.94 / $92.62 / $149.93	Professional		$70.94	$92.62	$149.93