Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.38 / $4,396.00 / $10,300.00	Facility		$904.38	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.50 / $904.38 / $4,369.25	Professional		$768.50	$904.38	$4,369.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,158.86 / $3,921.00 / $5,886.97	Facility		$3,158.86	$3,921.00	$5,886.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.28 / $1,076.77 / $1,501.16	Professional		$862.28	$1,076.77	$1,501.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.32 / $971.31 / $1,427.97	Professional		$738.32	$971.31	$1,427.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $980.34 / $1,446.65	Professional		$12.00	$980.34	$1,446.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $856.87 / $1,285.31	Professional		$9.00	$856.87	$1,285.31
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 $793.41 / $999.60 / $1,524.36	Professional		$793.41	$999.60	$1,524.36