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 $1,110.27 / $1,245.43 / $6,354.73	Professional		$1,110.27	$1,245.43	$6,354.73
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 $1,365.30 / $1,452.32 / $1,996.94	Professional		$1,365.30	$1,452.32	$1,996.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.03 / $1,499.00 / $2,198.54	Professional		$1,019.03	$1,499.00	$2,198.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $1,353.16 / $5,514.55	Professional		$22.40	$1,353.16	$5,514.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $1,655.87 / $7,519.85	Professional		$16.80	$1,655.87	$7,519.85
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 $1,084.02 / $1,432.28 / $2,209.32	Professional		$1,084.02	$1,432.28	$2,209.32