Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.66 / $325.19 / $391.47	Professional		$235.66	$325.19	$391.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $289.57 / $428.27	Professional		$138.99	$289.57	$428.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,875.34 / $11,875.34 / $11,875.34	Facility		$11,875.34	$11,875.34	$11,875.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $13,614.55 / $19,518.33	Professional		$200.00	$13,614.55	$19,518.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14,220.15 / $14,220.15 / $14,220.15	Facility		$14,220.15	$14,220.15	$14,220.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.92 / $343.83 / $481.36	Professional		$241.92	$343.83	$481.36