Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.34 / $3,959.00 / $10,300.00	Facility		$1,453.34	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.90 / $1,453.34 / $2,178.05	Professional		$1,164.90	$1,453.34	$2,178.05
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 $1,134.92 / $1,502.31 / $2,434.32	Professional		$1,134.92	$1,502.31	$2,434.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.14 / $1,526.01 / $2,384.00	Professional		$829.14	$1,526.01	$2,384.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $1,403.72 / $1,953.01	Professional		$15.36	$1,403.72	$1,953.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $1,220.63 / $1,830.95	Professional		$11.52	$1,220.63	$1,830.95
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 $1,148.97 / $1,496.82 / $2,497.29	Professional		$1,148.97	$1,496.82	$2,497.29