Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.07 / $4,396.00 / $10,300.00	Facility		$1,902.07	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,883.96 / $1,902.07 / $8,999.11	Professional		$1,883.96	$1,902.07	$8,999.11
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 $1,639.01 / $2,318.02 / $3,098.51	Professional		$1,639.01	$2,318.02	$3,098.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.37 / $2,070.73 / $3,109.89	Professional		$1,374.37	$2,070.73	$3,109.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $1,850.35 / $2,590.48	Professional		$28.67	$1,850.35	$2,590.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $1,480.28 / $2,220.42	Professional		$19.50	$1,480.28	$2,220.42
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 $1,756.72 / $2,167.65 / $3,241.99	Professional		$1,756.72	$2,167.65	$3,241.99