Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.65 / $4,396.00 / $10,300.00	Facility		$993.65	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.25 / $956.93 / $4,869.89	Professional		$851.25	$956.93	$4,869.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $30,452.43	Facility		$3,671.00	$5,123.00	$30,452.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.04 / $1,048.80 / $1,534.02	Professional		$917.04	$1,048.80	$1,534.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.27 / $1,104.08 / $1,689.20	Professional		$716.27	$1,104.08	$1,689.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $1,011.47 / $10,904.96	Professional		$9.19	$1,011.47	$10,904.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $1,264.33 / $14,870.40	Professional		$6.90	$1,264.33	$14,870.40
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 $726.08 / $996.41 / $1,696.63	Professional		$726.08	$996.41	$1,696.63