Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $987.09 / $1,172.13	Facility		$508.96	$987.09	$1,172.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $1,163.54	Professional		$508.96	$508.96	$1,163.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.70 / $534.41 / $1,623.58	Facility		$465.70	$534.41	$1,623.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $519.52	Professional		$508.96	$508.96	$519.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.65 / $508.96 / $508.96	Facility		$491.65	$508.96	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $552.17 / $604.67	Professional		$508.96	$552.17	$604.67
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $543.39 / $543.39 / $543.39	Facility		$543.39	$543.39	$543.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96