Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.54 / $4,396.00 / $10,300.00	Facility		$1,449.54	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.01 / $1,174.01 / $4,473.00	Professional		$1,174.01	$1,174.01	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,162.81	Facility		$3,671.00	$5,123.00	$8,162.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.64 / $1,354.38 / $1,949.19	Professional		$1,119.64	$1,354.38	$1,949.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.57 / $1,338.27 / $1,905.36	Professional		$960.57	$1,338.27	$1,905.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $1,219.07 / $1,777.81	Professional		$20.00	$1,219.07	$1,777.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,015.89 / $1,523.84	Professional		$15.00	$1,015.89	$1,523.84
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 $1,165.84 / $1,399.01 / $2,207.56	Professional		$1,165.84	$1,399.01	$2,207.56