Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.66 / $1,188.32 / $2,013.95	Professional		$1,159.66	$1,188.32	$2,013.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,829.00 / $7,046.00 / $13,100.00	Facility		$5,829.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.71 / $1,825.94 / $8,870.66	Professional		$1,311.71	$1,825.94	$8,870.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,935.50 / $3,935.50 / $3,935.50	Facility		$3,935.50	$3,935.50	$3,935.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $425.00 / $4,795.55	Professional		$200.00	$425.00	$4,795.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $238.60 / $4,359.59 / $6,301.21	Facility		$238.60	$4,359.59	$6,301.21
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 $1,247.40 / $1,792.26 / $2,356.19	Professional		$1,247.40	$1,792.26	$2,356.19