Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.18 / $3,959.00 / $10,300.00	Facility		$1,032.18	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.44 / $1,032.18 / $1,553.60	Professional		$845.44	$1,032.18	$1,553.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.69 / $1,070.86 / $1,732.44	Professional		$807.69	$1,070.86	$1,732.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.12 / $1,072.35 / $1,653.26	Professional		$606.12	$1,072.35	$1,653.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $882.46 / $1,394.29	Professional		$12.88	$882.46	$1,394.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $882.46 / $1,323.69	Professional		$9.66	$882.46	$1,323.69
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.19 / $1,087.33 / $1,762.48	Professional		$819.19	$1,087.33	$1,762.48