Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,509.00 / $7,674.00	Facility		$2,240.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.30 / $2,585.46 / $13,161.10	Professional		$2,272.30	$2,585.46	$13,161.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $16,907.36	Facility		$3,671.00	$5,123.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.31 / $2,812.38 / $4,227.60	Professional		$2,089.31	$2,812.38	$4,227.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.72 / $2,759.56 / $4,426.46	Professional		$1,724.72	$2,759.56	$4,426.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $2,624.57 / $4,271.17	Professional		$25.60	$2,624.57	$4,271.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $3,280.71 / $5,788.31	Professional		$19.20	$3,280.71	$5,788.31
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 $1,505.82 / $2,492.19 / $4,179.68	Professional		$1,505.82	$2,492.19	$4,179.68