Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.87 / $4,396.00 / $10,300.00	Facility		$67.87	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $67.87 / $208.10	Professional		$67.87	$67.87	$208.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $76.20 / $109.54	Professional		$61.91	$76.20	$109.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,646.46 / $2,646.46 / $2,646.46	Facility		$2,646.46	$2,646.46	$2,646.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $350.00 / $2,745.15	Professional		$29.65	$350.00	$2,745.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,495.59 / $5,177.96 / $5,177.96	Facility		$2,495.59	$5,177.96	$5,177.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $61.05 / $95.70	Professional		$29.93	$61.05	$95.70