Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,654.00 / $7,674.00	Facility		$1,862.00	$3,654.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $947.18 / $3,591.00	Professional		$787.82	$947.18	$3,591.00
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 $1,033.35 / $1,095.35 / $1,532.46	Professional		$1,033.35	$1,095.35	$1,532.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.41 / $1,145.23 / $1,672.07	Professional		$766.41	$1,145.23	$1,672.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $1,037.56 / $2,393.80	Professional		$17.20	$1,037.56	$2,393.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $1,263.20 / $3,264.27	Professional		$12.90	$1,263.20	$3,264.27
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 $823.36 / $1,083.68 / $1,673.95	Professional		$823.36	$1,083.68	$1,673.95