Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.48 / $4,396.00 / $10,300.00	Facility		$2,068.48	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,759.31 / $2,068.48 / $4,473.00	Professional		$1,759.31	$2,068.48	$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 $1,962.62 / $2,509.67 / $3,416.74	Professional		$1,962.62	$2,509.67	$3,416.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.13 / $2,214.78 / $3,266.03	Professional		$1,693.13	$2,214.78	$3,266.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $2,223.92 / $3,262.82	Professional		$30.40	$2,223.92	$3,262.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $1,864.47 / $2,796.71	Professional		$22.80	$1,864.47	$2,796.71
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 $1,754.67 / $2,290.00 / $3,492.17	Professional		$1,754.67	$2,290.00	$3,492.17