Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.15 / $4,190.00 / $10,300.00	Facility		$748.15	$4,190.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.57 / $748.15 / $1,134.73	Professional		$613.57	$748.15	$1,134.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,352.37	Facility		$3,671.00	$5,123.00	$8,352.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.07 / $782.58 / $1,259.23	Professional		$587.07	$782.58	$1,259.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $799.05 / $1,271.85	Professional		$525.00	$799.05	$1,271.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $762.44 / $1,110.32	Professional		$10.56	$762.44	$1,110.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $664.86 / $997.29	Professional		$7.92	$664.86	$997.29
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.92 / $797.20 / $1,320.14	Professional		$607.92	$797.20	$1,320.14