Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.33 / $4,396.00 / $10,300.00	Facility		$1,120.33	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.69 / $1,017.46 / $4,473.00	Professional		$935.69	$1,017.46	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $11,683.30	Facility		$4,452.00	$5,379.00	$11,683.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.71 / $1,284.30 / $1,848.34	Professional		$1,061.71	$1,284.30	$1,848.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.72 / $1,215.21 / $1,749.32	Professional		$894.72	$1,215.21	$1,749.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $1,107.22 / $1,614.69	Professional		$20.23	$1,107.22	$1,614.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $922.68 / $1,384.02	Professional		$15.18	$922.68	$1,384.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.44 / $1,236.40 / $1,885.47	Professional		$1,017.44	$1,236.40	$1,885.47