Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.95 / $4,396.00 / $10,300.00	Facility		$1,244.95	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.90 / $1,199.35 / $6,095.27	Professional		$1,062.90	$1,199.35	$6,095.27
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 $1,312.23 / $1,414.02 / $1,919.33	Professional		$1,312.23	$1,414.02	$1,919.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.99 / $1,556.19 / $2,240.91	Professional		$926.99	$1,556.19	$2,240.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $1,247.52 / $4,244.76	Professional		$9.27	$1,247.52	$4,244.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $1,559.40 / $5,788.31	Professional		$6.96	$1,559.40	$5,788.31
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 $1,036.55 / $1,458.55 / $2,230.14	Professional		$1,036.55	$1,458.55	$2,230.14