Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.65 / $1,500.00 / $7,644.25	Professional		$1,328.65	$1,500.00	$7,644.25
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 $1,641.62 / $1,772.22 / $2,440.69	Professional		$1,641.62	$1,772.22	$2,440.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.18 / $1,824.00 / $2,648.60	Professional		$1,243.18	$1,824.00	$2,648.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $1,625.80 / $5,378.18	Professional		$20.80	$1,625.80	$5,378.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $1,950.96 / $7,333.88	Professional		$15.60	$1,950.96	$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 $1,314.40 / $1,741.36 / $2,671.21	Professional		$1,314.40	$1,741.36	$2,671.21