Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.67 / $4,396.00 / $10,300.00	Facility		$1,496.67	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.41 / $1,496.67 / $6,671.26	Professional		$1,482.41	$1,496.67	$6,671.26
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 $1,290.76 / $1,836.92 / $2,491.36	Professional		$1,290.76	$1,836.92	$2,491.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.09 / $1,628.49 / $2,440.32	Professional		$1,055.09	$1,628.49	$2,440.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $1,460.40 / $2,044.56	Professional		$21.17	$1,460.40	$2,044.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,168.32 / $1,752.48	Professional		$14.40	$1,168.32	$1,752.48
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 $1,372.52 / $1,766.31 / $2,420.46	Professional		$1,372.52	$1,766.31	$2,420.46