Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,500.00 / $3,605.00	Facility		$409.75	$1,500.00	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $95.83 / $363.00	Professional		$47.02	$95.83	$363.00
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 $56.47 / $82.74 / $166.88	Professional		$56.47	$82.74	$166.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $76.15 / $153.53	Professional		$47.19	$76.15	$153.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.32 / $190.00	Professional		$1.05	$1.32	$190.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $1,427.00 / $1,998.00	Facility		$252.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $106.08 / $176.79	Professional		$75.22	$106.08	$176.79