Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,396.00 / $10,300.00	Facility		$2,240.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.46 / $2,497.25 / $3,538.19	Professional		$2,105.46	$2,497.25	$3,538.19
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 $2,373.79 / $2,871.46 / $4,132.54	Professional		$2,373.79	$2,871.46	$4,132.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.80 / $2,712.99 / $3,947.74	Professional		$1,544.80	$2,712.99	$3,947.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $2,304.56 / $3,960.00	Professional		$35.20	$2,304.56	$3,960.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $2,266.42 / $3,399.63	Professional		$26.40	$2,266.42	$3,399.63
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 $2,262.73 / $2,767.20 / $4,219.89	Professional		$2,262.73	$2,767.20	$4,219.89