Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $4,396.00 / $10,300.00	Facility		$1,875.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,088.00 / $6,151.00 / $10,920.00	Facility		$5,088.00	$6,151.00	$10,920.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.59 / $2,912.14 / $4,008.86	Professional		$676.59	$2,912.14	$4,008.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,898.44 / $1,898.44 / $3,243.00	Professional		$1,898.44	$1,898.44	$3,243.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $19.20 / $2,160.00	Professional		$2.16	$19.20	$2,160.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Professional		$14.40	$14.40	$14.40
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