Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $159.54 / $181.16	Facility		$43.18	$159.54	$181.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $27.62 / $35.56	Professional		$13.83	$27.62	$35.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $5,484.00 / $9,964.00	Facility		$1,529.00	$5,484.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $18.54 / $39.70	Professional		$8.78	$18.54	$39.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $29.63 / $51.78	Professional		$14.18	$29.63	$51.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $22.70 / $45.57	Professional		$0.47	$22.70	$45.57
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 $0.24 / $14.13 / $26.42	Professional		$0.24	$14.13	$26.42
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $9,500.00	Facility		$200.00	$1,427.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $36.49 / $52.46	Professional		$27.94	$36.49	$52.46