Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.92 / $4,396.00 / $10,300.00	Facility		$2,091.92	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.69 / $2,091.92 / $4,473.00	Professional		$1,783.69	$2,091.92	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,996.00 / $8,455.00 / $16,907.36	Facility		$6,996.00	$8,455.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,985.26 / $2,540.48 / $3,456.15	Professional		$1,985.26	$2,540.48	$3,456.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.64 / $2,253.94 / $3,303.02	Professional		$1,717.64	$2,253.94	$3,303.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $2,258.71 / $3,315.87	Professional		$29.60	$2,258.71	$3,315.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $1,894.78 / $2,842.17	Professional		$22.20	$1,894.78	$2,842.17
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 $1,843.87 / $2,409.67 / $3,534.87	Professional		$1,843.87	$2,409.67	$3,534.87