Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $4,396.00 / $10,300.00	Facility		$791.70	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,166.83	Professional		$791.70	$791.70	$1,166.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $12,031.62	Facility		$4,452.00	$5,379.00	$12,031.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.24 / $1,038.09 / $1,644.92	Professional		$857.24	$1,038.09	$1,644.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.63 / $830.63 / $9,800.00	Professional		$830.63	$830.63	$9,800.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $24.00 / $2,400.00	Professional		$21.00	$24.00	$2,400.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
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 $968.45 / $1,225.93 / $1,704.66	Professional		$968.45	$1,225.93	$1,704.66