Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $1,004.30 / $1,397.76	Facility		$528.58	$1,004.30	$1,397.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $2,640.00	Professional		$636.59	$642.96	$2,640.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.48 / $668.42 / $2,030.72	Facility		$582.48	$668.42	$2,030.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $636.59	Professional		$528.58	$528.58	$636.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.65 / $636.59 / $636.59	Facility		$564.65	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $690.64 / $1,800.00	Professional		$636.59	$690.64	$1,800.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $755.03 / $755.03 / $755.03	Facility		$755.03	$755.03	$755.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59