Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,929.00 / $4,396.00 / $10,300.00	Facility		$1,929.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,910.63 / $1,929.00 / $8,589.70	Professional		$1,910.63	$1,929.00	$8,589.70
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 $1,662.31 / $2,365.67 / $3,184.15	Professional		$1,662.31	$2,365.67	$3,184.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.67 / $2,100.21 / $3,166.98	Professional		$1,528.67	$2,100.21	$3,166.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $1,866.89 / $2,627.80	Professional		$22.93	$1,866.89	$2,627.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $1,501.60 / $2,252.40	Professional		$15.60	$1,501.60	$2,252.40
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 $1,744.45 / $2,206.02 / $3,120.40	Professional		$1,744.45	$2,206.02	$3,120.40