Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.34 / $1,706.00 / $4,473.00	Facility		$247.34	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $225.08 / $1,057.00	Professional		$193.36	$225.08	$1,057.00
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 $220.73 / $251.30 / $367.56	Professional		$220.73	$251.30	$367.56
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 $189.40 / $272.07 / $408.11	Professional		$189.40	$272.07	$408.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $246.87 / $398.11	Professional		$2.47	$246.87	$398.11
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 $1.68 / $226.07 / $390.30	Professional		$1.68	$226.07	$390.30
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 $191.30 / $252.76 / $466.84	Professional		$191.30	$252.76	$466.84