Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.19 / $4,396.00 / $10,300.00	Facility		$2,149.19	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,030.39 / $2,149.19 / $9,743.02	Professional		$2,030.39	$2,149.19	$9,743.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,526.00 / $9,098.00 / $15,073.00	Facility		$7,526.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,866.73 / $2,629.96 / $3,515.48	Professional		$1,866.73	$2,629.96	$3,515.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,672.87 / $2,329.52 / $3,223.46	Professional		$1,672.87	$2,329.52	$3,223.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $2,165.23 / $3,037.02	Professional		$41.45	$2,165.23	$3,037.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $1,735.44 / $2,603.16	Professional		$28.20	$1,735.44	$2,603.16
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 $1,757.47 / $2,346.71 / $3,672.89	Professional		$1,757.47	$2,346.71	$3,672.89