Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.48 / $4,396.00 / $10,300.00	Facility		$422.48	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.42 / $422.48 / $422.48	Professional		$388.42	$422.48	$422.48
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 $665.35 / $926.19 / $2,612.75	Professional		$665.35	$926.19	$2,612.75
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 $200.00 / $425.00 / $2,745.15	Professional		$200.00	$425.00	$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 $416.48 / $845.17 / $1,280.16	Professional		$416.48	$845.17	$1,280.16