Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.26 / $4,396.00 / $10,300.00	Facility		$1,009.26	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.65 / $1,009.26 / $4,512.38	Professional		$999.65	$1,009.26	$4,512.38
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 $872.60 / $1,241.82 / $1,662.38	Professional		$872.60	$1,241.82	$1,662.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.16 / $1,095.33 / $1,680.96	Professional		$798.16	$1,095.33	$1,680.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $1,036.65 / $4,326.72	Professional		$10.58	$1,036.65	$4,326.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,328.25 / $5,974.27 / $5,974.27	Facility		$3,328.25	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $833.98 / $4,992.38	Professional		$7.20	$833.98	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.28 / $1,195.38 / $1,758.49	Professional		$920.28	$1,195.38	$1,758.49