Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $427.86 / $518.42	Facility		$225.11	$427.86	$518.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $592.85	Professional		$225.11	$227.36	$592.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $236.37 / $281.97	Facility		$225.11	$236.37	$281.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.19	Professional		$225.11	$225.11	$225.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $225.11 / $225.11	Facility		$220.59	$225.11	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $244.22 / $261.27	Professional		$225.11	$244.22	$261.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $243.97 / $243.97 / $243.97	Facility		$243.97	$243.97	$243.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11