Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.48 / $3,042.00 / $6,953.00	Facility		$1,644.48	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.12 / $1,551.87 / $8,500.20	Professional		$1,432.12	$1,551.87	$8,500.20
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 $1,765.56 / $1,971.63 / $2,582.39	Professional		$1,765.56	$1,971.63	$2,582.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.31 / $2,042.00 / $3,123.00	Professional		$1,415.31	$2,042.00	$3,123.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $1,764.58 / $3,475.29	Professional		$31.20	$1,764.58	$3,475.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $2,099.79 / $4,739.03	Professional		$23.40	$2,099.79	$4,739.03
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 $1,456.18 / $1,881.01 / $2,984.01	Professional		$1,456.18	$1,881.01	$2,984.01