Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.87 / $4,396.00 / $10,300.00	Facility		$691.87	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.48 / $637.15 / $3,410.35	Professional		$513.48	$637.15	$3,410.35
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 $730.03 / $806.20 / $1,116.30	Professional		$730.03	$806.20	$1,116.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.16 / $903.00 / $1,245.36	Professional		$578.16	$903.00	$1,245.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $684.92 / $1,889.33	Professional		$9.19	$684.92	$1,889.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $778.20 / $2,576.36	Professional		$6.90	$778.20	$2,576.36
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 $608.41 / $814.85 / $1,255.89	Professional		$608.41	$814.85	$1,255.89