Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.34 / $1,639.00 / $4,396.00	Facility		$485.34	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $368.12 / $1,837.60	Professional		$75.77	$368.12	$1,837.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $446.00 / $446.00	Facility		$446.00	$446.00	$446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $393.77 / $696.67	Professional		$91.72	$393.77	$696.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $441.62 / $668.26	Professional		$70.27	$441.62	$668.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $119.95 / $607.44	Professional		$1.40	$119.95	$607.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $68.54 / $544.64	Professional		$0.72	$68.54	$544.64
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 $489.30 / $657.26 / $926.50	Professional		$489.30	$657.26	$926.50