Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.83 / $4,396.00 / $10,300.00	Facility		$1,664.83	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.03 / $1,664.83 / $4,473.00	Professional		$1,404.03	$1,664.83	$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 $1,582.08 / $1,935.08 / $2,754.25	Professional		$1,582.08	$1,935.08	$2,754.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.94 / $1,700.16 / $2,628.68	Professional		$1,342.94	$1,700.16	$2,628.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $1,788.28 / $2,661.87	Professional		$27.04	$1,788.28	$2,661.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $1,521.07 / $2,281.61	Professional		$20.28	$1,521.07	$2,281.61
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 $1,332.56 / $1,786.65 / $2,802.89	Professional		$1,332.56	$1,786.65	$2,802.89