Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $437.49 / $530.04	Facility		$230.15	$437.49	$530.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $495.15	Professional		$230.15	$232.46	$495.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $241.66 / $288.29	Facility		$230.15	$241.66	$288.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.26	Professional		$230.15	$230.15	$230.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.52 / $230.15 / $230.15	Facility		$223.52	$230.15	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $249.70 / $268.32	Professional		$230.15	$249.70	$268.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $247.03 / $247.03 / $247.03	Facility		$247.03	$247.03	$247.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15