Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.53 / $4,396.00 / $10,300.00	Facility		$1,323.53	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.69 / $1,256.68 / $4,473.00	Professional		$1,121.69	$1,256.68	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,229.51 / $1,487.28 / $2,140.46	Professional		$1,229.51	$1,487.28	$2,140.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.20 / $1,411.59 / $2,005.34	Professional		$1,011.20	$1,411.59	$2,005.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $1,328.13 / $2,008.09	Professional		$21.60	$1,328.13	$2,008.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $1,147.48 / $1,721.22	Professional		$16.20	$1,147.48	$1,721.22
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 $1,141.40 / $1,430.39 / $2,181.30	Professional		$1,141.40	$1,430.39	$2,181.30