Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.68 / $1,057.68 / $5,481.44	Professional		$1,057.68	$1,057.68	$5,481.44
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 $1,052.57 / $1,220.67 / $1,756.76	Professional		$1,052.57	$1,220.67	$1,756.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.48 / $1,210.33 / $1,744.63	Professional		$870.48	$1,210.33	$1,744.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $1,101.88 / $1,606.90	Professional		$16.00	$1,101.88	$1,606.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $918.23 / $1,377.35	Professional		$12.00	$918.23	$1,377.35
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 $1,002.83 / $1,253.41 / $1,837.28	Professional		$1,002.83	$1,253.41	$1,837.28