Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $200.86 / $205.70	Facility		$200.86	$200.86	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $200.86 / $205.70	Professional		$193.60	$200.86	$205.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $75.31 / $193.60	Professional		$75.31	$75.31	$193.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $212.72 / $242.00	Professional		$127.38	$212.72	$242.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $191.07	Professional		$127.38	$127.38	$191.07
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00