Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.40 / $1,495.26 / $1,985.40	Facility		$842.40	$1,495.26	$1,985.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $702.00 / $1,350.00	Professional		$306.00	$702.00	$1,350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.68 / $900.00 / $1,125.00	Facility		$400.68	$900.00	$1,125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $544.50	Professional		$360.00	$360.00	$544.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,053.00 / $3,258.45	Facility		$585.00	$1,053.00	$3,258.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.91 / $1,096.20 / $1,313.37	Professional		$327.91	$1,096.20	$1,313.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $225.00 / $900.00	Professional		$202.50	$225.00	$900.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $900.00	Professional		$378.00	$378.00	$900.00