Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $2,150.00 / $10,300.00	Facility		$29.99	$2,150.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $45.28 / $194.39	Professional		$32.49	$45.28	$194.39
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 $28.29 / $37.06 / $49.26	Professional		$28.29	$37.06	$49.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.29 / $43.87 / $48.75	Professional	50	$37.29	$43.87	$48.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $45.74 / $164.66	Professional		$31.32	$45.74	$164.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $37.15 / $60.38	Professional		$21.85	$37.15	$60.38
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 $0.42 / $27.34 / $36.42	Professional		$0.42	$27.34	$36.42
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 $36.04 / $51.52 / $72.06	Professional		$36.04	$51.52	$72.06