Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,473.00 / $10,300.00	Facility		$2,240.00	$4,473.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,928.80 / $4,770.17 / $7,123.48	Professional		$3,928.80	$4,770.17	$7,123.48
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 $3,710.70 / $4,947.60 / $8,102.64	Professional		$3,710.70	$4,947.60	$8,102.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.05 / $4,779.16 / $7,701.43	Professional		$1,777.05	$4,779.16	$7,701.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $4,584.42 / $6,378.32	Professional		$42.40	$4,584.42	$6,378.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $3,986.45 / $5,979.68	Professional		$31.80	$3,986.45	$5,979.68
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 $3,639.04 / $4,907.22 / $8,163.12	Professional		$3,639.04	$4,907.22	$8,163.12