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 $1,856.97 / $1,856.97 / $4,473.00	Professional		$1,856.97	$1,856.97	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $12,031.62	Facility		$4,452.00	$5,379.00	$12,031.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,768.19 / $2,138.89 / $3,078.25	Professional		$1,768.19	$2,138.89	$3,078.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.01 / $2,116.44 / $3,046.82	Professional		$1,515.01	$2,116.44	$3,046.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,902.48 / $2,774.45	Professional		$30.00	$1,902.48	$2,774.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $1,585.40 / $2,378.10	Professional		$22.50	$1,585.40	$2,378.10
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 $1,843.10 / $2,195.60 / $3,212.19	Professional		$1,843.10	$2,195.60	$3,212.19