Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.12 / $3,959.00 / $10,300.00	Facility		$1,705.12	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.08 / $1,705.12 / $2,550.25	Professional		$1,432.08	$1,705.12	$2,550.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,449.67 / $1,836.49 / $2,918.12	Professional		$1,449.67	$1,836.49	$2,918.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.28 / $1,986.60 / $3,069.22	Professional		$1,383.28	$1,986.60	$3,069.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $1,696.68 / $2,429.09	Professional		$23.20	$1,696.68	$2,429.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $1,438.78 / $2,158.17	Professional		$17.39	$1,438.78	$2,158.17
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.11 / $1,871.82 / $3,059.85	Professional		$1,464.11	$1,871.82	$3,059.85