Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.84 / $1,706.00 / $4,473.00	Facility		$552.84	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.58 / $498.78 / $1,011.13	Professional		$403.58	$498.78	$1,011.13
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 $519.42 / $576.55 / $804.98	Professional		$519.42	$576.55	$804.98
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 $420.75 / $616.96 / $912.18	Professional		$420.75	$616.96	$912.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $538.64 / $867.49	Professional		$6.17	$538.64	$867.49
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 $4.20 / $484.57 / $850.49	Professional		$4.20	$484.57	$850.49
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 $434.42 / $589.60 / $1,002.32	Professional		$434.42	$589.60	$1,002.32