Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.25 / $4,396.00 / $10,300.00	Facility		$1,622.25	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $1,313.89 / $2,402.79	Professional		$1,222.00	$1,313.89	$2,402.79
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 $1,252.81 / $1,515.47 / $2,181.03	Professional		$1,252.81	$1,515.47	$2,181.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.04 / $1,511.31 / $2,152.07	Professional		$1,078.04	$1,511.31	$2,152.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $1,361.65 / $1,985.74	Professional		$19.60	$1,361.65	$1,985.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $1,134.71 / $1,702.07	Professional		$14.70	$1,134.71	$1,702.07
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 $1,307.50 / $1,556.58 / $2,292.94	Professional		$1,307.50	$1,556.58	$2,292.94