Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $61.61 / $289.64	Professional		$58.62	$61.61	$289.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $70.06 / $100.85	Professional		$57.00	$70.06	$100.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $66.43 / $110.90	Professional		$42.21	$66.43	$110.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $53.92 / $91.00	Professional		$1.04	$53.92	$91.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $224.78 / $224.78 / $224.78	Facility		$224.78	$224.78	$224.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $50.83 / $67.40	Professional		$0.78	$50.83	$67.40
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 $49.27 / $65.19 / $105.37	Professional		$49.27	$65.19	$105.37