Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.08 / $1,544.55 / $8,024.12	Professional		$1,375.08	$1,544.55	$8,024.12
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 $1,682.95 / $1,815.60 / $2,496.46	Professional		$1,682.95	$1,815.60	$2,496.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.69 / $1,853.95 / $2,741.29	Professional		$1,218.69	$1,853.95	$2,741.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $1,650.81 / $4,403.22	Professional		$28.00	$1,650.81	$4,403.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $1,980.98 / $6,004.40	Professional		$21.00	$1,980.98	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,820.00 / $11,445.00	Facility		$2,042.00	$4,820.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.45 / $1,740.70 / $2,767.80	Professional		$1,317.45	$1,740.70	$2,767.80