Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $4,396.00 / $10,300.00	Facility		$176.96	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $176.96 / $253.29	Professional		$176.96	$176.96	$253.29
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 $161.50 / $198.77 / $285.74	Professional		$161.50	$198.77	$285.74
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 $178.61 / $350.00 / $2,745.15	Professional		$178.61	$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 $153.57 / $191.22 / $284.98	Professional		$153.57	$191.22	$284.98