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 $314.56 / $368.01 / $1,899.02	Professional		$314.56	$368.01	$1,899.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.95 / $498.04 / $639.87	Professional		$405.95	$498.04	$639.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $479.50 / $712.00	Professional		$331.41	$479.50	$712.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $365.33 / $532.77	Professional		$4.80	$365.33	$532.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $304.44 / $456.66	Professional		$3.60	$304.44	$456.66
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $1,572.00 / $1,975.00	Facility		$252.00	$1,572.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $446.88 / $702.23	Professional		$339.76	$446.88	$702.23