Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.25 / $3,959.00 / $10,300.00	Facility		$502.25	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.05 / $630.39 / $2,703.14	Professional		$457.05	$630.39	$2,703.14
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 $537.09 / $681.73 / $864.08	Professional		$537.09	$681.73	$864.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Facility		$130.60	$130.60	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.34 / $802.84 / $1,203.34	Professional		$527.34	$802.84	$1,203.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $647.62 / $1,112.70	Professional		$15.61	$647.62	$1,112.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $256.64 / $256.64	Facility		$256.64	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $471.38 / $1,056.35	Professional		$10.62	$471.38	$1,056.35
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.47 / $795.81 / $1,264.45	Professional		$626.47	$795.81	$1,264.45