Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.30 / $4,396.00 / $10,300.00	Facility		$1,687.30	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.72 / $1,635.64 / $4,473.00	Professional		$1,573.72	$1,635.64	$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 $1,613.71 / $1,952.03 / $2,809.32	Professional		$1,613.71	$1,952.03	$2,809.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.55 / $1,855.00 / $2,691.88	Professional		$1,399.55	$1,855.00	$2,691.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $1,696.32 / $2,473.80	Professional		$18.80	$1,696.32	$2,473.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $1,413.60 / $2,120.40	Professional		$14.10	$1,413.60	$2,120.40
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 $1,410.38 / $1,919.44 / $2,845.59	Professional		$1,410.38	$1,919.44	$2,845.59