Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.91 / $361.67 / $819.04	Facility		$177.91	$361.67	$819.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $37.06 / $100.88	Professional		$34.53	$37.06	$100.88
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 $26.62 / $37.09 / $133.00	Professional		$26.62	$37.09	$133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $48.21 / $84.75	Professional		$19.07	$48.21	$84.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.80	Professional		$0.50	$0.50	$0.80
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 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $51.00 / $85.34	Professional		$30.00	$51.00	$85.34