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 $110.11 / $117.73 / $704.87	Professional		$110.11	$117.73	$704.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $155.06 / $215.98	Professional		$115.86	$155.06	$215.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $182.47 / $246.10	Professional		$122.41	$182.47	$246.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $140.27 / $188.48	Professional		$1.60	$140.27	$188.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $107.90 / $161.85	Professional		$1.20	$107.90	$161.85
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 $119.37 / $169.98 / $262.20	Professional		$119.37	$169.98	$262.20