Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.02 / $4,396.00 / $10,300.00	Facility		$1,292.02	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.46 / $1,292.02 / $4,473.00	Professional		$1,262.46	$1,292.02	$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 $1,207.53 / $1,460.70 / $2,102.19	Professional		$1,207.53	$1,460.70	$2,102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.31 / $1,440.62 / $2,035.87	Professional		$1,045.31	$1,440.62	$2,035.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $1,258.76 / $1,903.92	Professional		$9.60	$1,258.76	$1,903.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $1,094.57 / $1,641.86	Professional		$7.20	$1,094.57	$1,641.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,434.39 / $2,187.41	Professional		$1,195.20	$1,434.39	$2,187.41