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 / $7,674.00	Facility		$1,862.00	$3,906.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.33 / $986.37 / $4,982.74	Professional		$877.33	$986.37	$4,982.74
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 $1,066.84 / $1,154.35 / $1,587.24	Professional		$1,066.84	$1,154.35	$1,587.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.31 / $1,199.48 / $1,745.24	Professional		$821.31	$1,199.48	$1,745.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $1,093.25 / $4,244.76	Professional		$10.40	$1,093.25	$4,244.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $1,316.58 / $5,788.31	Professional		$7.80	$1,316.58	$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 $852.49 / $1,099.99 / $1,714.41	Professional		$852.49	$1,099.99	$1,714.41