Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.02 / $543.47 / $646.82	Facility		$539.02	$543.47	$646.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.02 / $577.65 / $3,088.02	Professional		$539.02	$577.65	$3,088.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.28 / $704.10 / $1,310.00	Facility		$563.28	$704.10	$1,310.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.46 / $518.70 / $629.48	Professional		$505.46	$518.70	$629.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.32 / $897.42 / $1,536.68	Facility		$253.32	$897.42	$1,536.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.99 / $587.89 / $1,000.25	Professional		$407.99	$587.89	$1,000.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $659.26 / $937.05	Professional		$3.51	$659.26	$937.05
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $639.30 / $639.30 / $639.30	Facility		$639.30	$639.30	$639.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $543.47 / $841.67	Professional		$3.51	$543.47	$841.67
United Facility/Professional Professional Modifier Low / Median / High Price $368.83 / $655.21 / $1,004.71	Professional		$368.83	$655.21	$1,004.71