Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.46 / $1,706.00 / $4,473.00	Facility		$519.46	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $472.70 / $2,350.01	Professional		$421.71	$472.70	$2,350.01
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 $485.36 / $538.74 / $752.87	Professional		$485.36	$538.74	$752.87
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 $394.51 / $576.36 / $857.10	Professional		$394.51	$576.36	$857.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $506.52 / $812.29	Professional		$5.73	$506.52	$812.29
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 $3.90 / $450.02 / $799.77	Professional		$3.90	$450.02	$799.77
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 $397.88 / $543.45 / $959.00	Professional		$397.88	$543.45	$959.00