Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.38 / $4,396.00 / $10,300.00	Facility		$495.38	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.59 / $471.79 / $528.16	Professional		$253.59	$471.79	$528.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $500.33 / $765.07	Professional		$309.08	$500.33	$765.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $387.31 / $707.69	Professional		$219.78	$387.31	$707.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $429.13 / $3,949.19	Professional		$4.05	$429.13	$3,949.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $428.88 / $4,739.03	Professional		$2.76	$428.88	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $465.12 / $749.37	Professional		$246.40	$465.12	$749.37