Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $2,599.00 / $5,923.00	Facility		$2,240.00	$2,599.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,599.00 / $3,959.00 / $10,300.00	Professional		$2,599.00	$3,959.00	$10,300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.49 / $1,285.89 / $1,570.32	Professional		$957.49	$1,285.89	$1,570.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,934.00 / $15,934.00 / $15,934.00	Facility		$15,934.00	$15,934.00	$15,934.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18,589.53 / $18,589.53 / $18,589.53	Professional		$18,589.53	$18,589.53	$18,589.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $16,899.57 / $23,699.91 / $23,699.91	Facility		$16,899.57	$23,699.91	$23,699.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,752.00 / $6,619.00 / $19,017.00	Facility		$3,752.00	$6,619.00	$19,017.00