Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $582.91 / $710.89	Facility		$306.80	$582.91	$710.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $645.04	Professional		$308.68	$308.68	$645.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $324.11 / $386.65	Facility		$308.68	$324.11	$386.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $306.80 / $308.68	Professional		$306.80	$306.80	$308.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.92 / $308.68 / $308.68	Facility		$293.92	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $334.89 / $361.68	Professional		$308.68	$334.89	$361.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $324.83 / $324.83 / $324.83	Facility		$324.83	$324.83	$324.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68