Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.90 / $4,396.00 / $10,300.00	Facility		$1,928.90	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,910.53 / $1,928.90 / $8,744.68	Professional		$1,910.53	$1,928.90	$8,744.68
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 $1,675.30 / $2,384.16 / $3,026.57	Professional		$1,675.30	$2,384.16	$3,026.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.54 / $2,090.82 / $3,052.03	Professional		$1,490.54	$2,090.82	$3,052.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $1,921.86 / $2,722.51	Professional		$31.13	$1,921.86	$2,722.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $1,555.72 / $2,333.58	Professional		$21.18	$1,555.72	$2,333.58
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 $1,765.42 / $2,259.08 / $3,133.63	Professional		$1,765.42	$2,259.08	$3,133.63