Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,959.00 / $10,300.00	Facility		$2,240.00	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,602.29 / $3,359.33 / $5,049.93	Professional		$2,602.29	$3,359.33	$5,049.93
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 $2,819.62 / $3,521.89 / $5,667.61	Professional		$2,819.62	$3,521.89	$5,667.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.19 / $3,481.57 / $5,543.91	Professional		$2,424.19	$3,481.57	$5,543.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $3,183.60 / $4,665.41	Professional		$41.60	$3,183.60	$4,665.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $2,793.66 / $4,190.49	Professional		$31.20	$2,793.66	$4,190.49
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 $2,666.94 / $3,478.46 / $5,571.72	Professional		$2,666.94	$3,478.46	$5,571.72