Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.90 / $4,396.00 / $10,300.00	Facility		$1,043.90	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.96 / $1,043.90 / $4,751.67	Professional		$1,033.96	$1,043.90	$4,751.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.89 / $1,099.45 / $1,513.51	Professional		$908.89	$1,099.45	$1,513.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.37 / $1,006.06 / $1,491.29	Professional		$766.37	$1,006.06	$1,491.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $974.44 / $1,510.60	Professional		$20.32	$974.44	$1,510.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $863.20 / $1,294.80	Professional		$15.24	$863.20	$1,294.80
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 $960.48 / $1,250.29 / $1,740.16	Professional		$960.48	$1,250.29	$1,740.16