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 $52.86 / $53.37 / $242.33	Professional		$52.86	$53.37	$242.33
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 $44.01 / $55.97 / $77.06	Professional		$44.01	$55.97	$77.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $59.59 / $82.36	Professional		$42.76	$59.59	$82.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $56.86 / $78.33	Professional		$0.80	$56.86	$78.33
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 $0.60 / $44.23 / $67.14	Professional		$0.60	$44.23	$67.14
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 $48.65 / $63.96 / $92.11	Professional		$48.65	$63.96	$92.11