Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.96 / $4,396.00 / $10,300.00	Facility		$1,639.96	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.35 / $1,639.96 / $7,438.33	Professional		$1,624.35	$1,639.96	$7,438.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,218.00	Facility		$4,452.00	$5,379.00	$8,218.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.60 / $1,883.64 / $2,517.88	Professional		$1,427.60	$1,883.64	$2,517.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.64 / $1,774.90 / $2,470.78	Professional		$1,262.64	$1,774.90	$2,470.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $1,633.44 / $2,343.89	Professional		$19.39	$1,633.44	$2,343.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,361.20 / $2,041.80	Professional		$13.20	$1,361.20	$2,041.80
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 $1,415.04 / $1,735.64 / $2,655.46	Professional		$1,415.04	$1,735.64	$2,655.46