Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,906.00 / $10,300.00	Facility		$1,862.00	$3,906.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.65 / $1,328.39 / $6,762.54	Professional		$1,177.65	$1,328.39	$6,762.54
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 $1,452.48 / $1,550.69 / $2,168.28	Professional		$1,452.48	$1,550.69	$2,168.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.00 / $1,626.00 / $2,341.59	Professional		$1,088.00	$1,626.00	$2,341.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $1,449.51 / $5,378.18	Professional		$16.39	$1,449.51	$5,378.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $1,739.42 / $7,333.88	Professional		$12.30	$1,739.42	$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 $1,161.26 / $1,498.19 / $2,279.44	Professional		$1,161.26	$1,498.19	$2,279.44