Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.40 / $4,396.00 / $10,300.00	Facility		$788.40	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.05 / $716.00 / $3,996.10	Professional		$674.05	$716.00	$3,996.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,526.00 / $9,098.00 / $15,073.00	Facility		$7,526.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.42 / $945.39 / $1,311.63	Professional		$753.42	$945.39	$1,311.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.52 / $875.57 / $1,250.70	Professional		$611.52	$875.57	$1,250.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $883.65 / $4,212.55	Professional		$16.48	$883.65	$4,212.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,370.04 / $8,172.60 / $8,172.60	Facility		$3,370.04	$8,172.60	$8,172.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $738.86 / $5,055.06	Professional		$11.22	$738.86	$5,055.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.28 / $911.60 / $1,552.77	Professional		$661.28	$911.60	$1,552.77