Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.16 / $4,396.00 / $10,300.00	Facility		$648.16	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $588.64 / $3,218.08	Professional		$542.79	$588.64	$3,218.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.58 / $744.64 / $1,071.68	Professional		$615.58	$744.64	$1,071.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $714.33 / $992.08	Professional		$509.01	$714.33	$992.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $729.63 / $2,996.26	Professional		$15.26	$729.63	$2,996.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,397.01 / $5,455.67 / $5,455.67	Facility		$2,397.01	$5,455.67	$5,455.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $595.16 / $3,595.52	Professional		$10.38	$595.16	$3,595.52
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 $565.66 / $723.29 / $1,115.69	Professional		$565.66	$723.29	$1,115.69