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 $3,108.87 / $3,223.59 / $5,536.71	Professional		$3,108.87	$3,223.59	$5,536.71
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 $2,910.80 / $3,521.06 / $5,067.43	Professional		$2,910.80	$3,521.06	$5,067.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,524.77 / $3,328.24 / $4,677.28	Professional		$2,524.77	$3,328.24	$4,677.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $3,024.34 / $4,410.49	Professional		$30.80	$3,024.34	$4,410.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $2,520.28 / $3,780.42	Professional		$23.10	$2,520.28	$3,780.42
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 $2,611.54 / $3,418.00 / $5,212.34	Professional		$2,611.54	$3,418.00	$5,212.34