Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.81 / $1,706.00 / $4,473.00	Facility		$361.81	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.81 / $323.05 / $1,585.98	Professional		$288.81	$323.05	$1,585.98
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 $253.53 / $307.68 / $505.05	Professional		$253.53	$307.68	$505.05
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 $251.49 / $372.89 / $578.90	Professional		$251.49	$372.89	$578.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $340.13 / $566.94	Professional		$2.65	$340.13	$566.94
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 $1.80 / $309.20 / $571.64	Professional		$1.80	$309.20	$571.64
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 $256.51 / $354.46 / $603.54	Professional		$256.51	$354.46	$603.54