Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.41 / $4,396.00 / $10,300.00	Facility		$638.41	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $631.07 / $3,499.60	Professional		$618.04	$631.07	$3,499.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $9,062.92	Facility		$3,671.00	$5,123.00	$9,062.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.84 / $816.33 / $1,174.83	Professional		$674.84	$816.33	$1,174.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.70 / $793.51 / $1,100.70	Professional		$593.70	$793.51	$1,100.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $748.66 / $1,152.25	Professional		$12.32	$748.66	$1,152.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $658.43 / $987.65	Professional		$9.24	$658.43	$987.65
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 $641.83 / $785.20 / $1,197.41	Professional		$641.83	$785.20	$1,197.41