Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.23 / $3,959.00 / $10,300.00	Facility		$1,519.23	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.60 / $1,519.23 / $2,276.92	Professional		$1,243.60	$1,519.23	$2,276.92
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 $1,186.08 / $1,581.08 / $2,544.08	Professional		$1,186.08	$1,581.08	$2,544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.87 / $1,595.19 / $2,452.02	Professional		$872.87	$1,595.19	$2,452.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $1,466.89 / $2,070.00	Professional		$18.39	$1,466.89	$2,070.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $1,274.41 / $1,911.62	Professional		$13.80	$1,274.41	$1,911.62
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 $1,205.30 / $1,579.60 / $2,667.58	Professional		$1,205.30	$1,579.60	$2,667.58