Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $222.66 / $270.27	Facility		$117.19	$222.66	$270.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $280.02	Professional		$117.36	$117.36	$280.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.38 / $123.23 / $374.38	Facility		$107.38	$123.23	$374.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.19 / $117.36	Professional		$117.19	$117.19	$117.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $117.36 / $117.36	Facility		$115.47	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $127.32 / $139.35	Professional		$117.36	$127.32	$139.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $123.93 / $123.93 / $123.93	Facility		$123.93	$123.93	$123.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36