Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,721.85 / $4,396.00 / $10,300.00	Facility		$1,721.85	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.65 / $1,721.85 / $4,473.00	Professional		$1,461.65	$1,721.85	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,996.00 / $8,455.00 / $16,907.36	Facility		$6,996.00	$8,455.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.68 / $2,076.23 / $2,849.31	Professional		$1,636.68	$2,076.23	$2,849.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.81 / $1,859.54 / $2,718.72	Professional		$1,405.81	$1,859.54	$2,718.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $1,851.90 / $2,761.47	Professional		$30.40	$1,851.90	$2,761.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $1,577.98 / $2,366.96	Professional		$22.80	$1,577.98	$2,366.96
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 $1,437.46 / $1,901.20 / $2,899.27	Professional		$1,437.46	$1,901.20	$2,899.27