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 $4,465.27 / $5,334.48 / $7,963.49	Professional		$4,465.27	$5,334.48	$7,963.49
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 $4,148.78 / $5,531.70 / $9,113.08	Professional		$4,148.78	$5,531.70	$9,113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.94 / $5,391.31 / $8,535.16	Professional		$1,720.94	$5,391.31	$8,535.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $5,118.10 / $7,120.85	Professional		$38.40	$5,118.10	$7,120.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $4,450.53 / $6,675.80	Professional		$28.80	$4,450.53	$6,675.80
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 $3,405.48 / $5,313.95 / $8,962.14	Professional		$3,405.48	$5,313.95	$8,962.14