Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $360.53 / $446.23	Facility		$189.75	$360.53	$446.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $211.20	Professional		$193.76	$193.76	$211.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.29 / $203.45 / $618.09	Facility		$177.29	$203.45	$618.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $189.75 / $193.76	Professional		$189.75	$189.75	$193.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.31 / $193.76 / $193.76	Facility		$186.31	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $223.74	Professional		$193.76	$193.76	$223.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $205.91 / $205.91 / $205.91	Facility		$205.91	$205.91	$205.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76