Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.65 / $4,396.00 / $12,437.00	Facility		$1,397.65	$4,396.00	$12,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.11 / $1,397.65 / $2,094.90	Professional		$1,106.11	$1,397.65	$2,094.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,352.37	Facility		$3,671.00	$5,123.00	$8,352.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.20 / $1,443.92 / $2,446.02	Professional		$1,124.20	$1,443.92	$2,446.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,457.06 / $2,306.13	Professional		$902.00	$1,457.06	$2,306.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $1,345.93 / $1,964.25	Professional		$17.68	$1,345.93	$1,964.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $1,176.20 / $1,764.30	Professional		$13.26	$1,176.20	$1,764.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $4,145.00 / $10,407.00	Facility		$1,248.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.28 / $1,474.43 / $2,357.52	Professional		$1,092.28	$1,474.43	$2,357.52