Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $42.45 / $42.94	Facility		$42.45	$42.45	$42.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $42.45 / $87.95	Professional		$42.45	$42.45	$87.95
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 $46.91 / $63.38 / $80.56	Professional		$46.91	$63.38	$80.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $53.80 / $76.84	Professional		$39.65	$53.80	$76.84
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 / $45.10 / $45.10	Professional		$0.30	$45.10	$45.10
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 $48.54 / $60.16 / $84.78	Professional		$48.54	$60.16	$84.78