Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.74 / $816.74 / $867.78	Facility		$816.74	$816.74	$867.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $867.78 / $1,008.92	Professional		$776.63	$867.78	$1,008.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $4,740.00 / $7,525.11	Facility		$3,214.00	$4,740.00	$7,525.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.66 / $1,130.71 / $1,625.79	Professional		$978.66	$1,130.71	$1,625.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.79 / $1,120.13 / $1,727.10	Professional		$823.79	$1,120.13	$1,727.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $1,023.90 / $1,621.72	Professional		$14.80	$1,023.90	$1,621.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $822.50 / $1,233.75	Professional		$11.10	$822.50	$1,233.75
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 $964.25 / $1,170.45 / $1,680.52	Professional		$964.25	$1,170.45	$1,680.52