Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.81 / $4,396.00 / $10,300.00	Facility		$1,519.81	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.92 / $1,230.92 / $4,473.00	Professional		$1,230.92	$1,230.92	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $12,031.62	Facility		$4,452.00	$5,379.00	$12,031.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.57 / $1,419.62 / $2,043.09	Professional		$1,173.57	$1,419.62	$2,043.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.33 / $1,357.65 / $1,925.43	Professional		$1,002.33	$1,357.65	$1,925.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $1,275.46 / $1,860.04	Professional		$20.00	$1,275.46	$1,860.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,062.88 / $1,594.32	Professional		$15.00	$1,062.88	$1,594.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.11 / $1,432.54 / $2,129.46	Professional		$1,190.11	$1,432.54	$2,129.46