Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.51 / $3,959.00 / $10,300.00	Facility		$662.51	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.10 / $662.51 / $1,003.12	Professional		$512.10	$662.51	$1,003.12
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 $521.36 / $690.34 / $1,119.59	Professional		$521.36	$690.34	$1,119.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.13 / $685.00 / $1,072.57	Professional		$433.13	$685.00	$1,072.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $645.91 / $935.73	Professional		$8.56	$645.91	$935.73
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 $6.42 / $588.86 / $880.79	Professional		$6.42	$588.86	$880.79
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 $498.94 / $656.76 / $1,105.47	Professional		$498.94	$656.76	$1,105.47