Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $4,396.00 / $10,300.00	Facility		$253.74	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.26 / $253.74 / $1,632.38	Professional		$244.26	$253.74	$1,632.38
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 $213.79 / $320.69 / $848.92	Professional		$213.79	$320.69	$848.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.76 / $312.63 / $822.82	Professional		$206.76	$312.63	$822.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $172.98 / $288.30	Professional		$25.20	$172.98	$288.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
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 $196.32 / $253.48 / $411.02	Professional		$196.32	$253.48	$411.02