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 $148.59 / $176.48 / $932.51	Professional		$148.59	$176.48	$932.51
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 $169.04 / $235.31 / $299.07	Professional		$169.04	$235.31	$299.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $175.11 / $278.64	Professional		$128.24	$175.11	$278.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $170.95 / $251.39	Professional		$2.80	$170.95	$251.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $143.65 / $215.48	Professional		$2.10	$143.65	$215.48
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.84 / $217.64 / $325.08	Professional		$170.84	$217.64	$325.08