Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $242.78 / $1,983.29	Professional		$58.90	$242.78	$1,983.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $130.16 / $2,415.64	Professional		$68.94	$130.16	$2,415.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $2,013.88 / $9,560.69	Professional		$53.10	$2,013.88	$9,560.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,592.39 / $3,592.39 / $3,592.39	Facility		$3,592.39	$3,592.39	$3,592.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $72.41 / $5,846.23	Professional		$48.27	$72.41	$5,846.23
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,821.77 / $2,163.33 / $3,772.95	Professional		$1,821.77	$2,163.33	$3,772.95