Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.85 / $461.49 / $2,188.01	Professional		$421.85	$461.49	$2,188.01
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 $424.12 / $497.95 / $746.22	Professional		$424.12	$497.95	$746.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $492.08 / $790.43	Professional		$338.94	$492.08	$790.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $396.26 / $698.34	Professional		$2.40	$396.26	$698.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $440.29 / $660.44	Professional		$1.80	$440.29	$660.44
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 $358.20 / $461.16 / $752.24	Professional		$358.20	$461.16	$752.24