Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.85 / $4,396.00 / $10,300.00	Facility		$1,949.85	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.99 / $1,949.85 / $2,916.20	Professional		$1,552.99	$1,949.85	$2,916.20
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 $1,521.00 / $2,007.79 / $3,262.43	Professional		$1,521.00	$2,007.79	$3,262.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.58 / $2,043.91 / $3,154.87	Professional		$1,117.58	$2,043.91	$3,154.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $1,864.39 / $2,593.94	Professional		$22.48	$1,864.39	$2,593.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $1,621.21 / $2,431.82	Professional		$16.86	$1,621.21	$2,431.82
United Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $2,819.00 / $6,471.00	Facility		$777.00	$2,819.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.45 / $1,989.67 / $3,298.76	Professional		$1,518.45	$1,989.67	$3,298.76