Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $180.55 / $357.51	Professional		$44.62	$180.55	$357.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $446.00 / $832.00	Facility		$446.00	$446.00	$832.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $386.99 / $622.60	Professional		$168.95	$386.99	$622.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $84.65	Professional		$35.65	$35.65	$84.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $350.00 / $425.00	Professional		$200.00	$350.00	$425.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $425.24 / $673.19	Professional		$57.84	$425.24	$673.19