Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,396.00 / $10,300.00	Facility		$2,150.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,833.95 / $1,833.95 / $4,473.00	Professional		$1,833.95	$1,833.95	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,162.81	Facility		$3,671.00	$5,123.00	$8,162.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,747.88 / $2,114.33 / $3,042.90	Professional		$1,747.88	$2,114.33	$3,042.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.76 / $2,019.58 / $3,026.43	Professional		$1,493.76	$2,019.58	$3,026.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $1,890.40 / $2,756.83	Professional		$40.00	$1,890.40	$2,756.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,575.33 / $2,363.00	Professional		$30.00	$1,575.33	$2,363.00
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 $1,821.75 / $2,240.71 / $3,174.97	Professional		$1,821.75	$2,240.71	$3,174.97