Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.39 / $4,396.00 / $10,300.00	Facility		$2,222.39	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,940.75 / $2,270.19 / $4,473.00	Professional		$1,940.75	$2,270.19	$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 $2,153.05 / $2,769.72 / $3,748.27	Professional		$2,153.05	$2,769.72	$3,748.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.49 / $2,412.83 / $3,584.50	Professional		$1,867.49	$2,412.83	$3,584.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $2,334.44 / $3,446.72	Professional		$15.60	$2,334.44	$3,446.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $2,041.53 / $3,062.30	Professional		$11.70	$2,041.53	$3,062.30
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 $2,095.34 / $2,581.76 / $3,841.08	Professional		$2,095.34	$2,581.76	$3,841.08