Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.65 / $922.03 / $1,235.77	Professional		$877.65	$922.03	$1,235.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,432.00 / $6,151.00 / $13,808.43	Facility		$4,432.00	$6,151.00	$13,808.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.66 / $1,004.81 / $1,446.10	Professional		$830.66	$1,004.81	$1,446.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.18 / $990.12 / $1,477.01	Professional		$731.18	$990.12	$1,477.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $951.70 / $1,394.80	Professional		$19.04	$951.70	$1,394.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $797.03 / $1,195.55	Professional		$14.28	$797.03	$1,195.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.12 / $1,017.04 / $1,492.02	Professional		$813.12	$1,017.04	$1,492.02