Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.82 / $1,100.73 / $5,599.26	Professional		$977.82	$1,100.73	$5,599.26
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 $1,207.61 / $1,287.02 / $1,766.31	Professional		$1,207.61	$1,287.02	$1,766.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.80 / $1,362.11 / $1,945.39	Professional		$933.80	$1,362.11	$1,945.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $1,469.80 / $10,904.96	Professional		$19.60	$1,469.80	$10,904.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $2,004.27 / $14,870.40	Professional		$14.70	$2,004.27	$14,870.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.06 / $1,273.14 / $1,951.15	Professional		$960.06	$1,273.14	$1,951.15