Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.11 / $4,396.00 / $10,300.00	Facility		$2,103.11	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,817.60 / $2,103.11 / $3,769.51	Professional		$1,817.60	$2,103.11	$3,769.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,993.91 / $2,553.73 / $3,471.22	Professional		$1,993.91	$2,553.73	$3,471.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.80 / $2,233.91 / $3,320.69	Professional		$1,745.80	$2,233.91	$3,320.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $2,268.73 / $3,308.59	Professional		$32.00	$2,268.73	$3,308.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $1,890.62 / $2,835.93	Professional		$24.00	$1,890.62	$2,835.93
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 $1,822.84 / $2,277.59 / $3,562.32	Professional		$1,822.84	$2,277.59	$3,562.32