Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,713.00 / $4,473.00	Facility		$1,496.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.50 / $1,635.27 / $4,473.00	Professional		$1,521.50	$1,635.27	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,708.59 / $2,066.81 / $2,974.50	Professional		$1,708.59	$2,066.81	$2,974.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.28 / $1,895.97 / $2,756.08	Professional		$1,357.28	$1,895.97	$2,756.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $1,835.10 / $2,781.36	Professional		$19.39	$1,835.10	$2,781.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $3,513.95 / $3,513.95	Facility		$1,814.89	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,667.75 / $2,722.34	Professional		$13.20	$1,667.75	$2,722.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.84 / $1,973.59 / $2,952.60	Professional		$1,545.84	$1,973.59	$2,952.60