Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.79 / $4,396.00 / $10,300.00	Facility		$413.79	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $413.79 / $475.23	Professional		$215.20	$413.79	$475.23
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 $417.40 / $465.84 / $640.54	Professional		$417.40	$465.84	$640.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,889.33 / $2,708.61	Professional		$200.00	$1,889.33	$2,708.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
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 $262.07 / $338.34 / $498.40	Professional		$262.07	$338.34	$498.40