Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,472.00 / $4,730.00	Facility		$2,150.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $1,165.67 / $3,179.13	Professional		$212.75	$1,165.67	$3,179.13
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 $258.95 / $2,115.77 / $4,483.09	Professional		$258.95	$2,115.77	$4,483.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $2,258.23 / $3,415.30	Professional		$199.80	$2,258.23	$3,415.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $1,790.40 / $4,555.22	Professional		$168.76	$1,790.40	$4,555.22
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,555.22 / $5,974.27 / $5,974.27	Facility		$4,555.22	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $281.27 / $2,826.95	Professional		$187.51	$281.27	$2,826.95
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 $1,810.00 / $3,227.14 / $5,000.14	Professional		$1,810.00	$3,227.14	$5,000.14