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 $2,298.64 / $2,393.60 / $4,473.00	Professional		$2,298.64	$2,393.60	$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 $2,155.71 / $2,607.67 / $3,752.91	Professional		$2,155.71	$2,607.67	$3,752.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.00 / $2,447.25 / $3,447.95	Professional		$1,861.00	$2,447.25	$3,447.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,250.00 / $3,242.27	Professional		$20.00	$2,250.00	$3,242.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,898.80 / $2,848.20	Professional		$15.00	$1,898.80	$2,848.20
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 $1,910.90 / $2,494.04 / $3,819.73	Professional		$1,910.90	$2,494.04	$3,819.73