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 $1,931.00 / $1,931.00 / $4,473.00	Professional		$1,931.00	$1,931.00	$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 $1,840.43 / $2,226.29 / $3,204.02	Professional		$1,840.43	$2,226.29	$3,204.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.09 / $2,137.35 / $3,156.73	Professional		$1,578.09	$2,137.35	$3,156.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $1,990.49 / $2,902.80	Professional		$34.15	$1,990.49	$2,902.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $1,658.74 / $2,488.11	Professional		$25.62	$1,658.74	$2,488.11
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 $1,916.61 / $2,284.66 / $3,449.90	Professional		$1,916.61	$2,284.66	$3,449.90