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 $2,496.48 / $2,900.05 / $4,617.01	Professional		$2,496.48	$2,900.05	$4,617.01
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 $2,323.29 / $3,077.03 / $4,983.28	Professional		$2,323.29	$3,077.03	$4,983.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.52 / $3,122.31 / $4,785.09	Professional		$1,664.52	$3,122.31	$4,785.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $2,745.17 / $3,819.36	Professional		$22.40	$2,745.17	$3,819.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $2,387.10 / $3,580.65	Professional		$16.80	$2,387.10	$3,580.65
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,380.63 / $3,157.59 / $5,262.02	Professional		$2,380.63	$3,157.59	$5,262.02