Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $198.33 / $1,020.85	Professional		$169.47	$198.33	$1,020.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Facility		$510.00	$510.00	$510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $213.51 / $319.88	Professional		$190.82	$213.51	$319.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $251.00 / $370.84	Professional		$166.70	$251.00	$370.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $190.86 / $284.05	Professional		$2.00	$190.86	$284.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $164.19 / $246.29	Professional		$1.50	$164.19	$246.29
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,754.00 / $2,625.00	Facility		$200.00	$1,754.00	$2,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $230.40 / $359.74	Professional		$174.80	$230.40	$359.74