Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $3,959.00 / $10,300.00	Facility		$1,652.17	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $6,088.24	Professional		$1,652.17	$1,652.17	$6,088.24
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 $899.61 / $1,276.94 / $2,107.42	Professional		$899.61	$1,276.94	$2,107.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $511.00 / $3,174.00	Professional		$364.00	$511.00	$3,174.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $19.20 / $425.00	Professional		$16.80	$19.20	$425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Professional		$14.40	$14.40	$14.40
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