Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.39 / $1,706.00 / $4,473.00	Facility		$46.39	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $38.97 / $48.71	Professional		$28.75	$38.97	$48.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $37.50 / $45.51	Professional		$31.29	$37.50	$45.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $40.72 / $71.68	Professional		$27.56	$40.72	$71.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $45.39 / $67.95	Professional		$27.18	$45.39	$67.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $36.67 / $57.81	Professional		$27.18	$36.67	$57.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $42.18 / $69.93	Professional		$35.52	$42.18	$69.93