Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.81 / $4,396.00 / $10,300.00	Facility		$197.81	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $197.81 / $338.54	Professional		$113.55	$197.81	$338.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $546.91 / $702.37	Professional		$211.05	$546.91	$702.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $155.68 / $223.19	Professional		$16.82	$155.68	$223.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $339.70 / $503.01	Professional		$252.80	$339.70	$503.01