Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.60 / $4,396.00 / $10,300.00	Facility		$2,153.60	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.03 / $2,153.60 / $4,473.00	Professional		$2,044.03	$2,153.60	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,479.00 / $10,250.00 / $16,117.00	Facility		$8,479.00	$10,250.00	$16,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.21 / $2,443.76 / $3,517.01	Professional		$2,020.21	$2,443.76	$3,517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.28 / $2,096.26 / $3,251.61	Professional		$1,534.28	$2,096.26	$3,251.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,227.46 / $3,375.00	Professional		$30.00	$2,227.46	$3,375.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $1,935.28 / $2,902.92	Professional		$22.50	$1,935.28	$2,902.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.04 / $2,163.40 / $3,418.33	Professional		$1,525.04	$2,163.40	$3,418.33