Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,639.00 / $4,396.00	Facility		$375.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $780.57 / $2,312.83	Professional		$155.33	$780.57	$2,312.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,080.00 / $20,080.00 / $25,100.00	Facility		$20,080.00	$20,080.00	$25,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $1,769.52 / $2,946.63	Professional		$177.20	$1,769.52	$2,946.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $1,671.21 / $2,678.50	Professional		$131.26	$1,671.21	$2,678.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $224.56 / $2,622.18	Professional		$4.67	$224.56	$2,622.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $128.32 / $2,489.42	Professional		$2.40	$128.32	$2,489.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $21,228.00	Facility		$2,818.00	$5,468.00	$21,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.60 / $2,427.31 / $3,086.61	Professional		$1,506.60	$2,427.31	$3,086.61