Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,396.00 / $10,300.00	Facility		$2,150.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.88 / $2,110.82 / $10,736.80	Professional		$1,860.88	$2,110.82	$10,736.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,996.00 / $8,455.00 / $16,907.36	Facility		$6,996.00	$8,455.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,305.32 / $2,679.16 / $3,473.21	Professional		$2,305.32	$2,679.16	$3,473.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,910.85 / $2,881.98 / $3,951.63	Professional		$1,910.85	$2,881.98	$3,951.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $1,804.65 / $3,158.14	Professional		$25.60	$1,804.65	$3,158.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $1,732.23 / $2,706.98	Professional		$19.20	$1,732.23	$2,706.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,966.31 / $2,681.50 / $3,826.86	Professional		$1,966.31	$2,681.50	$3,826.86