Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.49 / $4,396.00 / $10,300.00	Facility		$832.49	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.56 / $832.49 / $3,647.50	Professional		$824.56	$832.49	$3,647.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.79 / $873.11 / $1,176.14	Professional		$694.79	$873.11	$1,176.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $663.39 / $1,149.61	Professional		$484.18	$663.39	$1,149.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $925.11 / $2,204.10	Professional		$9.69	$925.11	$2,204.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $710.45 / $2,543.19	Professional		$6.60	$710.45	$2,543.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $765.90 / $1,262.66	Professional		$581.16	$765.90	$1,262.66