Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.14 / $4,396.00 / $10,300.00	Facility		$1,147.14	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.32 / $1,147.14 / $5,213.46	Professional		$893.32	$1,147.14	$5,213.46
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 $998.79 / $1,286.65 / $1,719.86	Professional		$998.79	$1,286.65	$1,719.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.15 / $1,292.81 / $1,782.00	Professional		$914.15	$1,292.81	$1,782.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $1,186.75 / $1,661.45	Professional		$17.64	$1,186.75	$1,661.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $949.40 / $1,424.10	Professional		$12.00	$949.40	$1,424.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $6,491.00 / $14,434.00	Facility		$3,163.00	$6,491.00	$14,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.90 / $1,263.77 / $1,859.13	Professional		$1,055.90	$1,263.77	$1,859.13