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 $2,394.15 / $2,927.18 / $4,032.99	Professional		$2,394.15	$2,927.18	$4,032.99
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 $2,333.30 / $3,030.53 / $4,897.30	Professional		$2,333.30	$3,030.53	$4,897.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.94 / $3,073.54 / $4,768.00	Professional		$1,741.94	$3,073.54	$4,768.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $2,685.63 / $3,965.58	Professional		$36.00	$2,685.63	$3,965.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $2,441.48 / $3,662.22	Professional		$27.00	$2,441.48	$3,662.22
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 $2,302.60 / $3,065.06 / $5,210.41	Professional		$2,302.60	$3,065.06	$5,210.41