Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $625.29 / $757.80	Facility		$329.05	$625.29	$757.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $358.67	Professional		$329.05	$329.05	$358.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $345.50 / $1,049.67	Facility		$301.08	$345.50	$1,049.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.10	Professional		$329.05	$329.05	$329.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.01 / $329.05 / $329.05	Facility		$318.01	$329.05	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $381.58	Professional		$329.05	$329.05	$381.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $351.31 / $351.31 / $351.31	Facility		$351.31	$351.31	$351.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05