Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,187.20 / $3,187.20 / $3,264.00	Facility		$3,187.20	$3,187.20	$3,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,187.19 / $3,187.20	Professional		$3,072.00	$3,187.19	$3,187.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.58 / $3,360.00 / $10,208.00	Facility		$1,866.58	$3,360.00	$10,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,264.00 / $3,366.00	Professional		$3,200.00	$3,264.00	$3,366.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,995.35 / $3,264.00 / $3,264.00	Facility		$2,995.35	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,187.20 / $3,840.00 / $4,377.60	Professional		$3,187.20	$3,840.00	$4,377.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $966.37 / $966.37 / $966.37	Facility		$966.37	$966.37	$966.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,648.00	Professional		$3,200.00	$3,200.00	$3,648.00