Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.47 / $4,396.00 / $10,300.00	Facility		$1,621.47	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,544.25 / $1,559.89 / $4,473.00	Professional		$1,544.25	$1,559.89	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.95 / $1,743.82 / $2,456.34	Professional		$1,410.95	$1,743.82	$2,456.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.22 / $1,687.31 / $2,528.71	Professional		$1,248.22	$1,687.31	$2,528.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $1,591.52 / $2,320.96	Professional		$25.60	$1,591.52	$2,320.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $1,326.27 / $1,989.41	Professional		$19.20	$1,326.27	$1,989.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,395.62 / $1,769.97 / $2,540.59	Professional		$1,395.62	$1,769.97	$2,540.59