Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $4,396.00 / $10,300.00	Facility		$112.37	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $112.37 / $118.44	Professional		$112.37	$112.37	$118.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $147.06 / $198.99	Professional		$98.74	$147.06	$198.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $134.33 / $1,442.35	Professional		$106.05	$134.33	$1,442.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $151.59 / $212.08	Professional		$112.00	$151.59	$212.08