Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.76 / $4,396.00 / $10,300.00	Facility		$2,215.76	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,215.76 / $2,304.42 / $4,473.00	Professional		$2,215.76	$2,304.42	$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 $2,079.48 / $2,515.44 / $3,620.18	Professional		$2,079.48	$2,515.44	$3,620.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.63 / $2,348.33 / $3,323.64	Professional		$1,794.63	$2,348.33	$3,323.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $2,111.73 / $3,121.47	Professional		$18.39	$2,111.73	$3,121.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $1,836.29 / $2,754.44	Professional		$13.80	$1,836.29	$2,754.44
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 $1,694.26 / $2,399.94 / $3,683.71	Professional		$1,694.26	$2,399.94	$3,683.71