Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,463.00 / $6,953.00	Facility		$1,642.00	$3,463.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,470.36 / $2,487.16	Professional		$1,328.43	$1,470.36	$2,487.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $14,000.83	Facility		$3,877.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.90 / $1,845.04 / $2,652.24	Professional		$1,612.90	$1,845.04	$2,652.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.52 / $1,905.20 / $2,746.83	Professional		$1,271.52	$1,905.20	$2,746.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $1,646.95 / $4,602.87	Professional		$26.00	$1,646.95	$4,602.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $2,058.69 / $6,276.65	Professional		$19.50	$2,058.69	$6,276.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.80 / $1,797.20 / $2,820.36	Professional		$1,365.80	$1,797.20	$2,820.36