Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,706.00 / $4,473.00	Facility		$911.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $219.69 / $503.00	Professional		$193.89	$219.69	$503.00
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 $143.65 / $279.83 / $341.56	Professional		$143.65	$279.83	$341.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,045.73 / $2,045.73 / $2,045.73	Facility		$2,045.73	$2,045.73	$2,045.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $2,301.16 / $2,619.81	Professional		$493.00	$2,301.16	$2,619.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,800.73 / $3,800.73 / $3,800.73	Facility		$3,800.73	$3,800.73	$3,800.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $282.94 / $454.51	Professional		$213.51	$282.94	$454.51