Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.93 / $4,396.00 / $10,300.00	Facility		$1,351.93	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.95 / $1,094.95 / $4,473.00	Professional		$1,094.95	$1,094.95	$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 $1,044.40 / $1,263.35 / $1,818.20	Professional		$1,044.40	$1,263.35	$1,818.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.88 / $1,275.72 / $1,840.97	Professional		$966.88	$1,275.72	$1,840.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $1,198.29 / $1,661.47	Professional		$21.12	$1,198.29	$1,661.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $949.41 / $1,424.12	Professional		$15.84	$949.41	$1,424.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,117.30 / $2,819.00 / $6,471.00	Facility		$1,117.30	$2,819.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.40 / $1,332.05 / $1,893.40	Professional		$1,086.40	$1,332.05	$1,893.40