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 $2,544.26 / $2,644.09 / $4,493.56	Professional		$2,544.26	$2,644.09	$4,493.56
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 $2,385.11 / $2,885.15 / $4,152.25	Professional		$2,385.11	$2,885.15	$4,152.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,063.21 / $2,727.61 / $3,816.39	Professional		$2,063.21	$2,727.61	$3,816.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $2,510.82 / $3,656.86	Professional		$28.80	$2,510.82	$3,656.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $2,092.35 / $3,138.53	Professional		$21.60	$2,092.35	$3,138.53
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 $2,052.60 / $2,708.93 / $4,236.96	Professional		$2,052.60	$2,708.93	$4,236.96