Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.22 / $4,396.00 / $10,300.00	Facility		$971.22	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.61 / $847.02 / $1,188.08	Professional		$786.61	$847.02	$1,188.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,162.81	Facility		$3,671.00	$5,123.00	$8,162.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.75 / $908.15 / $1,306.99	Professional		$750.75	$908.15	$1,306.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.75 / $893.18 / $1,282.45	Professional		$651.75	$893.18	$1,282.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $824.41 / $1,202.27	Professional		$12.00	$824.41	$1,202.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $687.01 / $1,030.52	Professional		$9.00	$687.01	$1,030.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.62 / $934.08 / $1,356.61	Professional		$717.62	$934.08	$1,356.61