Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $392.58 / $475.78	Facility		$206.59	$392.58	$475.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $457.16	Professional		$206.59	$206.59	$457.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $216.92 / $258.77	Facility		$206.59	$216.92	$258.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.62	Professional		$206.59	$206.59	$206.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.64 / $206.59 / $206.59	Facility		$201.64	$206.59	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $224.13 / $238.41	Professional		$206.59	$224.13	$238.41
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $223.21 / $223.21 / $223.21	Facility		$223.21	$223.21	$223.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $206.59 / $206.59	Professional		$134.28	$206.59	$206.59