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 $1,135.68 / $1,282.08 / $6,526.14	Professional		$1,135.68	$1,282.08	$6,526.14
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 $1,335.20 / $1,490.99 / $2,058.73	Professional		$1,335.20	$1,490.99	$2,058.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.24 / $1,519.28 / $2,260.91	Professional		$1,042.24	$1,519.28	$2,260.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $1,523.51 / $5,378.18	Professional		$16.39	$1,523.51	$5,378.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $1,904.39 / $7,333.88	Professional		$12.30	$1,904.39	$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 $1,080.66 / $1,427.84 / $2,202.48	Professional		$1,080.66	$1,427.84	$2,202.48