Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $1,639.00 / $4,473.00	Facility		$131.88	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $47.75 / $235.00	Professional		$26.81	$47.75	$235.00
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 $27.93 / $46.92 / $77.08	Professional		$27.93	$46.92	$77.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $47.85 / $87.63	Professional		$25.09	$47.85	$87.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $37.90 / $78.86	Professional		$0.35	$37.90	$78.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $23.96 / $42.39	Professional		$21.66	$23.96	$42.39
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 $46.08 / $72.72 / $93.09	Professional		$46.08	$72.72	$93.09