Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,891.17 / $4,396.00 / $10,300.00	Facility		$1,891.17	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.64 / $1,891.17 / $2,830.35	Professional		$1,550.64	$1,891.17	$2,830.35
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 $1,580.65 / $1,957.60 / $3,168.52	Professional		$1,580.65	$1,957.60	$3,168.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.63 / $1,985.73 / $3,214.99	Professional		$1,394.63	$1,985.73	$3,214.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $1,822.49 / $2,732.62	Professional		$38.64	$1,822.49	$2,732.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $1,579.55 / $2,369.33	Professional		$28.98	$1,579.55	$2,369.33
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 $1,510.52 / $1,978.07 / $3,204.72	Professional		$1,510.52	$1,978.07	$3,204.72