Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,396.00 / $10,300.00	Facility		$2,240.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.70 / $2,434.78 / $3,019.36	Professional		$1,648.70	$2,434.78	$3,019.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,996.00 / $8,455.00 / $14,510.00	Facility		$6,996.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $2,878.20 / $4,239.18	Professional		$499.00	$2,878.20	$4,239.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,829.18 / $4,829.18 / $4,829.18	Facility		$4,829.18	$4,829.18	$4,829.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $4,848.22 / $6,171.62	Professional		$493.00	$4,848.22	$6,171.62
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.56 / $1,176.31 / $2,771.21	Professional		$497.56	$1,176.31	$2,771.21