Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.53 / $1,706.00 / $4,473.00	Facility		$364.53	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $343.09 / $1,570.49	Professional		$266.68	$343.09	$1,570.49
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 $320.33 / $370.74 / $526.27	Professional		$320.33	$370.74	$526.27
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 $284.08 / $414.95 / $640.30	Professional		$284.08	$414.95	$640.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $374.84 / $623.41	Professional		$165.59	$374.84	$623.41
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 $261.45 / $291.83 / $399.78	Professional		$261.45	$291.83	$399.78
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 $373.45 / $457.59 / $708.80	Professional		$373.45	$457.59	$708.80