Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.69 / $3,959.00 / $10,300.00	Facility		$332.69	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $407.45 / $1,914.56	Professional		$316.95	$407.45	$1,914.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.26 / $413.17 / $635.66	Professional		$301.26	$413.17	$635.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $225.57	Facility		$225.57	$225.57	$225.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $427.12 / $731.59	Professional		$315.52	$427.12	$731.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $421.12 / $663.55	Professional		$221.23	$421.12	$663.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $349.31 / $457.05	Professional		$304.70	$349.31	$457.05
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.44 / $501.59 / $831.60	Professional		$410.44	$501.59	$831.60