Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.33 / $865.33 / $877.81	Professional		$865.33	$865.33	$877.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.11 / $913.86 / $1,307.96	Professional		$468.11	$913.86	$1,307.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,362.28 / $7,362.28 / $7,362.28	Facility		$7,362.28	$7,362.28	$7,362.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8,207.40 / $8,207.40 / $8,207.40	Professional		$8,207.40	$8,207.40	$8,207.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,461.27 / $9,146.45 / $9,146.45	Facility		$7,461.27	$9,146.45	$9,146.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $6,491.00 / $14,434.00	Facility		$3,163.00	$6,491.00	$14,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.41 / $1,050.72 / $1,597.85	Professional		$620.41	$1,050.72	$1,597.85