Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,713.00 / $4,473.00	Facility		$1,496.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,706.00 / $3,605.00 / $10,300.00	Professional		$1,706.00	$3,605.00	$10,300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,173.00 / $12,719.00 / $15,372.00	Facility		$9,173.00	$12,719.00	$15,372.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.01 / $1,030.00 / $1,628.00	Professional		$414.01	$1,030.00	$1,628.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $200.00 / $493.00	Professional		$190.00	$200.00	$493.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00