Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,639.00 / $4,396.00	Facility		$409.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.72 / $260.66 / $1,136.10	Professional		$195.72	$260.66	$1,136.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $5,484.00 / $9,964.00	Facility		$1,529.00	$5,484.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.88 / $270.54 / $380.11	Professional		$214.88	$270.54	$380.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.38 / $665.38 / $665.38	Facility		$665.38	$665.38	$665.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.01 / $291.97 / $430.96	Professional		$174.01	$291.97	$430.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $270.48 / $678.72	Professional		$133.00	$270.48	$678.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $678.72 / $1,716.83 / $1,716.83	Facility		$678.72	$1,716.83	$1,716.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $211.78 / $333.41	Professional		$169.78	$211.78	$333.41
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $9,500.00	Facility		$721.00	$1,967.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $324.95 / $435.19	Professional		$230.40	$324.95	$435.19