Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $508.10 / $2,240.00	Facility		$346.11	$508.10	$2,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $72.98 / $166.31	Professional		$22.14	$72.98	$166.31
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 $17.05 / $58.14 / $134.99	Professional		$17.05	$58.14	$134.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $39.44 / $84.67	Professional		$12.25	$39.44	$84.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $51.98 / $157.06	Professional		$0.89	$51.98	$157.06
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 $0.56 / $33.71 / $96.46	Professional		$0.56	$33.71	$96.46
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 $54.58 / $84.06 / $98.89	Professional		$54.58	$84.06	$98.89