Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $3,034.97	Facility		$530.00	$530.00	$3,034.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,062.82	Professional		$2,784.38	$2,784.38	$3,062.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $95.86 / $636.00	Professional		$95.86	$95.86	$636.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $194.89 / $3,020.79 / $4,200.00	Professional		$194.89	$3,020.79	$4,200.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $127.38	Professional		$127.38	$127.38	$127.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38