Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.09 / $3,959.00 / $10,300.00	Facility		$1,970.09	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,705.20 / $1,970.09 / $3,142.71	Professional		$1,705.20	$1,970.09	$3,142.71
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 $1,693.34 / $2,092.67 / $3,397.07	Professional		$1,693.34	$2,092.67	$3,397.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.38 / $2,172.30 / $3,452.00	Professional		$1,278.38	$2,172.30	$3,452.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $1,954.67 / $2,807.87	Professional		$27.20	$1,954.67	$2,807.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $1,681.36 / $2,522.04	Professional		$20.39	$1,681.36	$2,522.04
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 $1,691.69 / $2,171.26 / $3,512.35	Professional		$1,691.69	$2,171.26	$3,512.35