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 $2,480.30 / $2,812.98 / $14,309.50	Professional		$2,480.30	$2,812.98	$14,309.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,996.00 / $8,455.00 / $43,524.48	Facility		$6,996.00	$8,455.00	$43,524.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,758.60 / $3,073.25 / $4,621.72	Professional		$2,758.60	$3,073.25	$4,621.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,139.96 / $3,289.23 / $5,144.13	Professional		$2,139.96	$3,289.23	$5,144.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $2,924.38 / $16,003.94	Professional		$52.00	$2,924.38	$16,003.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $3,605.39 / $21,823.56	Professional		$39.00	$3,605.39	$21,823.56
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 $2,016.45 / $2,866.03 / $4,559.80	Professional		$2,016.45	$2,866.03	$4,559.80