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 $451.47 / $479.69 / $2,650.26	Professional		$451.47	$479.69	$2,650.26
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 $511.04 / $618.19 / $889.68	Professional		$511.04	$618.19	$889.68
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 $430.31 / $549.47 / $846.51	Professional		$430.31	$549.47	$846.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $447.06 / $754.77	Professional		$3.97	$447.06	$754.77
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 $2.70 / $447.06 / $670.59	Professional		$2.70	$447.06	$670.59
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 $472.40 / $564.91 / $927.18	Professional		$472.40	$564.91	$927.18