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 $212.05 / $271.33 / $388.42	Professional		$212.05	$271.33	$388.42
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 $12,431.13 / $12,431.13 / $12,431.13	Facility		$12,431.13	$12,431.13	$12,431.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $14,250.03 / $20,429.39	Professional		$200.00	$14,250.03	$20,429.39
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 $246.89 / $325.08 / $476.29	Professional		$246.89	$325.08	$476.29