Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.15 / $4,396.00 / $10,300.00	Facility		$1,597.15	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.94 / $1,597.15 / $7,123.84	Professional		$1,581.94	$1,597.15	$7,123.84
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 $1,376.66 / $1,959.16 / $2,674.20	Professional		$1,376.66	$1,959.16	$2,674.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.36 / $1,737.22 / $2,382.48	Professional		$1,265.36	$1,737.22	$2,382.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $1,550.26 / $2,179.36	Professional		$17.64	$1,550.26	$2,179.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,245.34 / $1,868.03	Professional		$12.00	$1,245.34	$1,868.03
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 $1,330.77 / $1,816.64 / $2,504.61	Professional		$1,330.77	$1,816.64	$2,504.61