Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $4,396.00 / $10,300.00	Facility		$1,360.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.10 / $1,360.00 / $4,473.00	Professional		$1,338.10	$1,360.00	$4,473.00
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 $1,270.46 / $1,536.81 / $2,211.75	Professional		$1,270.46	$1,536.81	$2,211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.96 / $1,521.40 / $2,194.79	Professional		$1,096.96	$1,521.40	$2,194.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $1,378.01 / $2,009.60	Professional		$20.80	$1,378.01	$2,009.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $1,148.33 / $1,722.51	Professional		$15.60	$1,148.33	$1,722.51
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 $1,253.45 / $1,586.89 / $2,309.40	Professional		$1,253.45	$1,586.89	$2,309.40