Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $63.26 / $64.00	Facility		$63.26	$63.26	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $133.40	Professional		$63.26	$63.26	$133.40
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 $70.69 / $94.85 / $120.55	Professional		$70.69	$94.85	$120.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $79.58 / $117.70	Professional		$60.75	$79.58	$117.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.48 / $280.72	Professional		$0.42	$0.48	$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 $0.36 / $68.41 / $68.41	Professional		$0.36	$68.41	$68.41
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 $72.80 / $90.48 / $131.05	Professional		$72.80	$90.48	$131.05