Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $495.09 / $2,560.37	Professional		$457.52	$495.09	$2,560.37
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 $524.16 / $556.04 / $813.30	Professional		$524.16	$556.04	$813.30
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 $399.19 / $576.49 / $888.79	Professional		$399.19	$576.49	$888.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $422.60 / $784.17	Professional		$3.20	$422.60	$784.17
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 $2.40 / $469.56 / $704.34	Professional		$2.40	$469.56	$704.34
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $531.62 / $882.64	Professional		$419.08	$531.62	$882.64