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 $797.09 / $901.49 / $4,581.20	Professional		$797.09	$901.49	$4,581.20
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 $987.02 / $1,085.63 / $1,443.65	Professional		$987.02	$1,085.63	$1,443.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.42 / $1,224.83 / $1,721.00	Professional		$818.42	$1,224.83	$1,721.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $979.80 / $4,244.76	Professional		$12.40	$979.80	$4,244.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $1,175.76 / $5,788.31	Professional		$9.30	$1,175.76	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.77 / $1,065.96 / $1,598.97	Professional		$786.77	$1,065.96	$1,598.97