Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.33 / $4,396.00 / $10,300.00	Facility		$873.33	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.68 / $793.13 / $4,353.52	Professional		$729.68	$793.13	$4,353.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $11,683.30	Facility		$4,452.00	$5,379.00	$11,683.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.99 / $1,001.58 / $1,441.46	Professional		$827.99	$1,001.58	$1,441.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.85 / $948.16 / $1,363.90	Professional		$695.85	$948.16	$1,363.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $867.89 / $1,265.67	Professional		$13.84	$867.89	$1,265.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $723.24 / $1,084.85	Professional		$10.38	$723.24	$1,084.85
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 $704.35 / $974.98 / $1,468.85	Professional		$704.35	$974.98	$1,468.85