Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,396.00	Facility		$750.00	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $177.32 / $254.23	Professional		$64.18	$177.32	$254.23
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 $64.25 / $149.97 / $230.97	Professional		$64.25	$149.97	$230.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $149.01 / $264.56	Professional		$63.68	$149.01	$264.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $80.33 / $223.27	Professional		$0.80	$80.33	$223.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $55.76 / $146.00	Professional		$0.50	$55.76	$146.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $182.25 / $318.14	Professional		$145.08	$182.25	$318.14