Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $10.66 / $10.79	Facility		$10.66	$10.66	$10.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $10.66 / $21.88	Professional		$10.66	$10.66	$21.88
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 $11.72 / $15.96 / $20.28	Professional		$11.72	$15.96	$20.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $15.76 / $48.62	Professional		$10.03	$15.76	$48.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.32 / $280.72	Professional		$0.28	$0.32	$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 $0.24 / $11.22 / $11.22	Professional		$0.24	$11.22	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $1,427.00 / $1,998.00	Facility		$252.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $15.63 / $21.35	Professional		$12.11	$15.63	$21.35