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 $2,125.91 / $2,214.67 / $4,473.00	Professional		$2,125.91	$2,214.67	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,988.92 / $2,405.90 / $3,462.53	Professional		$1,988.92	$2,405.90	$3,462.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.13 / $2,242.10 / $3,188.87	Professional		$1,731.13	$2,242.10	$3,188.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $2,077.84 / $3,011.21	Professional		$22.40	$2,077.84	$3,011.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $1,720.69 / $2,581.04	Professional		$16.80	$1,720.69	$2,581.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,816.91 / $2,279.92 / $3,531.22	Professional		$1,816.91	$2,279.92	$3,531.22