Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.42 / $1,524.00 / $1,643.00	Facility		$644.42	$1,524.00	$1,643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.37 / $475.00 / $2,483.89	Professional		$422.37	$475.00	$2,483.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.66 / $1,048.00 / $2,620.00	Facility		$949.66	$1,048.00	$2,620.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.30 / $398.70 / $555.40	Professional		$368.30	$398.70	$555.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $233.90 / $308.91	Facility		$51.12	$233.90	$308.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.02 / $519.70 / $724.98	Professional		$348.02	$519.70	$724.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $541.13	Professional		$2.70	$2.70	$541.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $350.98 / $432.35 / $799.85	Professional		$350.98	$432.35	$799.85