Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $69.94 / $70.75	Facility		$69.94	$69.94	$70.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $69.94 / $146.66	Professional		$69.94	$69.94	$146.66
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 $78.19 / $104.88 / $133.30	Professional		$78.19	$104.88	$133.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $87.99 / $129.52	Professional		$66.84	$87.99	$129.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.96 / $280.72	Professional		$0.84	$0.96	$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 $0.72 / $75.20 / $75.20	Professional		$0.72	$75.20	$75.20
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 $73.34 / $100.42 / $195.03	Professional		$73.34	$100.42	$195.03