Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $2,173.00 / $4,841.00	Facility		$408.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $218.59 / $1,126.28	Professional		$186.59	$218.59	$1,126.28
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 $241.06 / $291.39 / $375.24	Professional		$241.06	$291.39	$375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $281.68 / $459.80	Professional		$181.52	$281.68	$459.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $212.72 / $313.23	Professional		$2.40	$212.72	$313.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $181.06 / $271.58	Professional		$1.80	$181.06	$271.58
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 $195.61 / $265.08 / $408.88	Professional		$195.61	$265.08	$408.88