Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.35 / $863.63 / $956.20	Facility		$427.35	$863.63	$956.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $853.12	Professional		$392.06	$392.06	$853.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.73 / $411.66 / $1,250.67	Facility		$358.73	$411.66	$1,250.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $390.74 / $392.06	Professional		$390.74	$390.74	$392.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.91 / $392.06 / $392.06	Facility		$382.91	$392.06	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $425.35 / $452.26	Professional		$392.06	$425.35	$452.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $423.05 / $423.05 / $423.05	Facility		$423.05	$423.05	$423.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06