Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.19 / $4,396.00 / $10,300.00	Facility		$214.19	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $214.19 / $1,022.00	Professional		$177.46	$214.19	$1,022.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $274.88 / $354.08	Professional		$232.12	$274.88	$354.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $261.60 / $405.34	Professional		$180.31	$261.60	$405.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $216.40 / $324.58	Professional		$4.40	$216.40	$324.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $180.33 / $270.50	Professional		$3.30	$180.33	$270.50
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 $185.34 / $236.37 / $376.11	Professional		$185.34	$236.37	$376.11