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 $962.26 / $1,051.33 / $1,155.32	Professional		$962.26	$1,051.33	$1,155.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $30,452.43	Facility		$3,671.00	$5,123.00	$30,452.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.79 / $1,297.90 / $1,784.61	Professional		$1,177.79	$1,297.90	$1,784.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.00 / $1,350.00 / $2,042.00	Professional		$941.00	$1,350.00	$2,042.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $37.50 / $2,842.45	Professional		$10.50	$37.50	$2,842.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Professional		$9.00	$9.00	$9.00
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 $949.12 / $1,622.88 / $2,353.11	Professional		$949.12	$1,622.88	$2,353.11