Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.03 / $704.58 / $3,408.56	Professional		$620.03	$704.58	$3,408.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.00 / $1,339.00 / $1,339.00	Facility		$1,339.00	$1,339.00	$1,339.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.50 / $864.29 / $1,134.84	Professional		$681.50	$864.29	$1,134.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.05 / $810.59 / $1,221.75	Professional		$577.05	$810.59	$1,221.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $656.99 / $1,006.57	Professional		$6.79	$656.99	$1,006.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $581.83 / $872.75	Professional		$5.82	$581.83	$872.75
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 $602.88 / $810.11 / $1,199.58	Professional		$602.88	$810.11	$1,199.58