Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,599.00 / $4,905.00	Facility		$1,150.00	$2,599.00	$4,905.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $567.62 / $2,537.56	Professional		$460.86	$567.62	$2,537.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.74 / $568.19 / $825.93	Professional		$482.74	$568.19	$825.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $287.27 / $287.27	Facility		$287.27	$287.27	$287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.13 / $645.19 / $966.82	Professional		$383.13	$645.19	$966.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $549.96 / $866.19	Professional		$1.06	$549.96	$866.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $562.80 / $562.80 / $562.80	Facility		$562.80	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $465.59 / $894.59	Professional		$0.72	$465.59	$894.59
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 $471.58 / $611.44 / $1,004.64	Professional		$471.58	$611.44	$1,004.64