Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.72 / $3,959.00 / $10,300.00	Facility		$1,955.72	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,693.17 / $1,955.72 / $3,120.23	Professional		$1,693.17	$1,955.72	$3,120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $7,802.00	Facility		$3,671.00	$5,123.00	$7,802.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,680.88 / $2,077.51 / $3,372.45	Professional		$1,680.88	$2,077.51	$3,372.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.66 / $2,179.01 / $3,443.00	Professional		$1,259.66	$2,179.01	$3,443.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $1,999.58 / $2,788.72	Professional		$27.20	$1,999.58	$2,788.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $1,669.89 / $2,504.84	Professional		$20.39	$1,669.89	$2,504.84
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 $1,683.21 / $2,168.40 / $3,577.86	Professional		$1,683.21	$2,168.40	$3,577.86