Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.63 / $2,150.00 / $10,300.00	Facility		$372.63	$2,150.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $407.90 / $1,827.51	Professional		$326.73	$407.90	$1,827.51
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 $368.09 / $408.57 / $638.11	Professional		$368.09	$408.57	$638.11
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 $300.83 / $455.51 / $717.18	Professional		$300.83	$455.51	$717.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $412.81 / $683.15	Professional		$1.94	$412.81	$683.15
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 $1.32 / $385.54 / $697.19	Professional		$1.32	$385.54	$697.19
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 $311.54 / $405.01 / $693.01	Professional		$311.54	$405.01	$693.01