Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $657.76 / $797.09	Facility		$346.11	$657.76	$797.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.56 / $817.41	Professional		$346.11	$349.56	$817.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $363.42 / $1,104.08	Facility		$316.69	$363.42	$1,104.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.19	Professional		$346.11	$346.11	$346.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.89 / $346.11 / $346.11	Facility		$338.89	$346.11	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $375.49 / $416.68	Professional		$346.11	$375.49	$416.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $367.55 / $367.55 / $367.55	Facility		$367.55	$367.55	$367.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $346.11 / $346.11	Professional		$224.97	$346.11	$346.11