Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.87 / $4,396.00 / $10,300.00	Facility		$184.87	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $184.87 / $1,024.44	Professional		$173.99	$184.87	$1,024.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $238.41 / $343.12	Professional		$197.09	$238.41	$343.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $171.58 / $171.58	Facility		$171.58	$171.58	$171.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $238.48 / $352.67	Professional		$173.55	$238.48	$352.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $219.37 / $305.02	Professional		$3.53	$219.37	$305.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $336.18 / $336.18	Facility		$174.30	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $189.80 / $261.45	Professional		$2.40	$189.80	$261.45
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 $205.45 / $245.85 / $389.03	Professional		$205.45	$245.85	$389.03