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 $918.17 / $1,042.72 / $5,267.65	Professional		$918.17	$1,042.72	$5,267.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $16,907.36	Facility		$3,671.00	$5,123.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $1,295.88 / $1,721.41	Professional		$1,150.00	$1,295.88	$1,721.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.26 / $1,367.73 / $1,903.00	Professional		$1,008.26	$1,367.73	$1,903.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $1,221.07 / $5,378.18	Professional		$19.20	$1,221.07	$5,378.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,448.43 / $7,333.88	Professional		$14.40	$1,448.43	$7,333.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.64 / $1,273.23 / $1,875.56	Professional		$952.64	$1,273.23	$1,875.56