Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.26 / $4,396.00 / $10,300.00	Facility		$893.26	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.47 / $732.45 / $893.26	Professional		$723.47	$732.45	$893.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.49 / $832.84 / $1,198.60	Professional		$688.49	$832.84	$1,198.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.10 / $2,653.10 / $2,653.10	Facility		$2,653.10	$2,653.10	$2,653.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.73 / $829.90 / $1,229.51	Professional		$595.73	$829.90	$1,229.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $826.56 / $3,562.89	Professional		$12.97	$826.56	$3,562.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.31 / $5,618.32 / $5,618.32	Facility		$2,850.31	$5,618.32	$5,618.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $674.26 / $4,275.47	Professional		$8.82	$674.26	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $722.40 / $879.67 / $1,367.89	Professional		$722.40	$879.67	$1,367.89