Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.38 / $4,396.00 / $10,300.00	Facility		$952.38	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.76 / $952.38 / $4,747.83	Professional		$805.76	$952.38	$4,747.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $15,156.78	Facility		$4,452.00	$5,379.00	$15,156.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.63 / $1,181.55 / $1,527.92	Professional		$1,044.63	$1,181.55	$1,527.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.93 / $1,119.98 / $1,704.26	Professional		$745.93	$1,119.98	$1,704.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $930.38 / $1,485.42	Professional		$20.23	$930.38	$1,485.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $848.81 / $1,273.22	Professional		$15.18	$848.81	$1,273.22
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 $777.78 / $1,014.47 / $1,564.84	Professional		$777.78	$1,014.47	$1,564.84