Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $25.31 / $25.60	Facility		$25.31	$25.31	$25.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $25.31 / $51.87	Professional		$25.31	$25.31	$51.87
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 $28.01 / $37.85 / $48.10	Professional		$28.01	$37.85	$48.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $36.72 / $55.37	Professional		$24.08	$36.72	$55.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.40 / $280.72	Professional		$0.35	$0.40	$280.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $255.20 / $483.16 / $483.16	Facility		$255.20	$483.16	$483.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $26.60 / $26.60	Professional		$0.30	$26.60	$26.60
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 $27.88 / $36.01 / $50.62	Professional		$27.88	$36.01	$50.62