Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.99 / $4,396.00 / $10,300.00	Facility		$525.99	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.98 / $525.99 / $2,375.51	Professional		$520.98	$525.99	$2,375.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.78 / $648.63 / $976.98	Professional		$455.78	$648.63	$976.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.65 / $538.87 / $751.42	Professional		$417.65	$538.87	$751.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $530.09 / $729.54	Professional		$9.03	$530.09	$729.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $416.88 / $625.32	Professional		$6.78	$416.88	$625.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.53 / $662.09 / $901.92	Professional		$488.53	$662.09	$901.92