Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $1,524.00 / $1,643.00	Facility		$638.00	$1,524.00	$1,643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $522.50 / $2,193.65	Professional		$375.00	$522.50	$2,193.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.62 / $522.03 / $1,913.00	Facility		$417.62	$522.03	$1,913.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.08 / $431.48 / $977.78	Professional		$349.08	$431.48	$977.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $278.95 / $642.12	Facility		$137.07	$278.95	$642.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.43 / $531.88 / $802.22	Professional		$373.43	$531.88	$802.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $477.00 / $610.55	Professional		$4.95	$477.00	$610.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $267.14 / $267.14	Facility		$267.14	$267.14	$267.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $381.60 / $572.40	Professional		$4.95	$381.60	$572.40
United Facility/Professional Professional Modifier Low / Median / High Price $385.09 / $452.88 / $862.76	Professional		$385.09	$452.88	$862.76