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 $162.34 / $1,042.51 / $2,609.39	Professional		$162.34	$1,042.51	$2,609.39
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 $222.14 / $2,010.23 / $3,311.45	Professional		$222.14	$2,010.23	$3,311.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $1,590.99 / $2,978.33	Professional		$163.50	$1,590.99	$2,978.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $290.33 / $2,869.19	Professional		$3.03	$290.33	$2,869.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $171.97 / $2,723.91	Professional		$1.56	$171.97	$2,723.91
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 $1,988.70 / $2,620.50 / $3,765.66	Professional		$1,988.70	$2,620.50	$3,765.66