Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $237.10	Facility		$222.25	$222.25	$237.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $233.36 / $708.98	Facility		$203.36	$233.36	$708.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $237.10	Professional		$222.25	$222.25	$237.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.52 / $399.36 / $399.36	Facility		$250.52	$399.36	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $241.12 / $427.88	Professional		$190.00	$241.12	$427.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.44 / $293.44 / $293.44	Facility		$293.44	$293.44	$293.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $251.14 / $427.88	Professional		$222.25	$251.14	$427.88