Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.65 / $4,396.00 / $10,300.00	Facility		$1,768.65	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.80 / $1,768.65 / $8,028.11	Professional		$1,751.80	$1,768.65	$8,028.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,526.00 / $9,098.00 / $15,073.00	Facility		$7,526.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.24 / $2,185.63 / $3,358.74	Professional		$1,556.24	$2,185.63	$3,358.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,586.63 / $2,047.78 / $2,808.38	Professional		$1,586.63	$2,047.78	$2,808.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.12 / $1,906.97 / $2,383.71	Professional		$1,362.12	$1,906.97	$2,383.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.12 / $1,362.12 / $2,043.18	Professional		$1,362.12	$1,362.12	$2,043.18
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 $1,645.93 / $2,426.96 / $3,108.97	Professional		$1,645.93	$2,426.96	$3,108.97