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 / $4,730.00	Facility		$750.00	$1,706.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $230.45 / $4,080.00	Professional		$198.46	$230.45	$4,080.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Facility		$630.00	$630.00	$630.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $228.99 / $317.00	Professional		$191.34	$228.99	$317.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $229.34 / $361.47	Professional		$188.68	$229.34	$361.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $240.36 / $338.69	Professional		$6.56	$240.36	$338.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $179.06 / $327.77	Professional		$4.92	$179.06	$327.77
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 $213.04 / $246.09 / $399.87	Professional		$213.04	$246.09	$399.87