Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.50 / $4,396.00 / $10,300.00	Facility		$1,751.50	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.82 / $1,751.50 / $7,946.29	Professional		$1,734.82	$1,751.50	$7,946.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,829.00 / $7,046.00 / $13,100.00	Facility		$5,829.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,522.48 / $2,053.23 / $2,744.58	Professional		$1,522.48	$2,053.23	$2,744.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.96 / $1,799.01 / $2,586.41	Professional		$1,225.96	$1,799.01	$2,586.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $1,723.79 / $2,449.19	Professional		$21.17	$1,723.79	$2,449.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,436.49 / $2,154.73	Professional		$14.40	$1,436.49	$2,154.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,819.00 / $6,471.00	Facility		$1,282.00	$2,819.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.36 / $1,889.51 / $2,991.58	Professional		$1,329.36	$1,889.51	$2,991.58