Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $27.61 / $61.86	Facility		$25.07	$27.61	$61.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $49.15 / $96.22	Professional		$25.07	$49.15	$96.22
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 $29.56 / $54.43 / $90.21	Professional		$29.56	$54.43	$90.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $43.03 / $91.53	Professional		$24.57	$43.03	$91.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $38.47 / $89.61	Professional		$0.35	$38.47	$89.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $24.23 / $54.31	Professional		$21.99	$24.23	$54.31
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 $48.83 / $65.84 / $102.06	Professional		$48.83	$65.84	$102.06