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 $213.61 / $250.63 / $1,290.32	Professional		$213.61	$250.63	$1,290.32
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 $276.32 / $339.45 / $430.59	Professional		$276.32	$339.45	$430.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $332.32 / $514.00	Professional		$228.13	$332.32	$514.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $248.62 / $372.92	Professional		$4.80	$248.62	$372.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $207.18 / $310.77	Professional		$3.60	$207.18	$310.77
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,975.00	Facility		$200.00	$1,427.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $313.52 / $579.26	Professional		$221.83	$313.52	$579.26