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 $249.21 / $1,280.11 / $1,813.32	Professional		$249.21	$1,280.11	$1,813.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $1,231.17 / $2,294.23	Professional		$286.33	$1,231.17	$2,294.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $1,294.88 / $2,355.79	Professional		$219.14	$1,294.88	$2,355.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $370.79 / $1,821.83	Professional		$5.83	$370.79	$1,821.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $211.88 / $1,729.59	Professional		$3.00	$211.88	$1,729.59
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.41 / $1,998.23 / $4,308.35	Professional		$1,090.41	$1,998.23	$4,308.35