Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,586.00 / $10,300.00	Facility		$2,240.00	$4,586.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $258.37 / $357.37	Professional		$258.37	$258.37	$357.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $67.03 / $276.92	Professional		$55.71	$67.03	$276.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,362.28 / $7,362.28 / $7,362.28	Facility		$7,362.28	$7,362.28	$7,362.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8,207.40 / $8,207.40 / $8,207.40	Professional		$8,207.40	$8,207.40	$8,207.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,461.27 / $9,146.45 / $9,146.45	Facility		$7,461.27	$9,146.45	$9,146.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $6,491.00 / $14,434.00	Facility		$3,163.00	$6,491.00	$14,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $69.16 / $396.01	Professional		$52.56	$69.16	$396.01