Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.86 / $4,396.00 / $10,300.00	Facility		$1,417.86	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.34 / $1,236.90 / $4,653.75	Professional		$1,148.34	$1,236.90	$4,653.75
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 $1,095.00 / $1,324.57 / $1,906.30	Professional		$1,095.00	$1,324.57	$1,906.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.65 / $1,307.65 / $1,925.32	Professional		$928.65	$1,307.65	$1,925.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $1,192.94 / $1,739.71	Professional		$22.16	$1,192.94	$1,739.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $994.12 / $1,491.18	Professional		$16.62	$994.12	$1,491.18
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 $1,139.26 / $1,384.62 / $1,985.51	Professional		$1,139.26	$1,384.62	$1,985.51