Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,713.00 / $4,473.00	Facility		$1,496.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,346.40 / $2,346.40 / $7,841.60	Professional		$2,346.40	$2,346.40	$7,841.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,173.00 / $12,719.00 / $15,372.00	Facility		$9,173.00	$12,719.00	$15,372.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,136.00 / $1,602.00	Professional		$801.00	$1,136.00	$1,602.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $350.00 / $493.00	Professional		$200.00	$350.00	$493.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.17 / $1,036.17 / $1,036.17	Facility		$1,036.17	$1,036.17	$1,036.17
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00