Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.35 / $4,396.00 / $10,300.00	Facility		$1,832.35	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.05 / $1,484.05 / $4,473.00	Professional		$1,484.05	$1,484.05	$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 $1,414.61 / $1,711.19 / $2,462.71	Professional		$1,414.61	$1,711.19	$2,462.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.67 / $1,691.61 / $2,443.16	Professional		$1,213.67	$1,691.61	$2,443.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $1,533.61 / $2,236.52	Professional		$20.80	$1,533.61	$2,236.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $1,278.01 / $1,917.02	Professional		$15.60	$1,278.01	$1,917.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,819.00 / $6,471.00	Facility		$1,282.00	$2,819.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,473.50 / $1,762.64 / $2,568.04	Professional		$1,473.50	$1,762.64	$2,568.04