Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,959.00 / $6,953.00	Facility		$2,150.00	$3,959.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.10 / $2,068.55 / $10,751.50	Professional		$1,846.10	$2,068.55	$10,751.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $14,000.83	Facility		$3,877.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,972.50 / $2,426.86 / $3,336.93	Professional		$1,972.50	$2,426.86	$3,336.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.82 / $2,478.81 / $3,591.00	Professional		$1,701.82	$2,478.81	$3,591.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $2,194.23 / $4,403.22	Professional		$26.32	$2,194.23	$4,403.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $2,661.92 / $6,004.40	Professional		$19.73	$2,661.92	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.48 / $4,820.00 / $11,445.00	Facility		$2,155.48	$4,820.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,686.25 / $2,191.15 / $3,399.84	Professional		$1,686.25	$2,191.15	$3,399.84