Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.87 / $400.61 / $787.20	Facility		$198.87	$400.61	$787.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $434.00 / $554.89	Professional		$182.45	$434.00	$554.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.94 / $191.57 / $582.02	Facility		$166.94	$191.57	$582.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $195.79	Professional		$182.45	$182.45	$195.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $184.18	Facility		$182.45	$182.45	$184.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $197.94 / $336.00	Professional		$182.45	$197.94	$336.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $212.53 / $212.53	Facility		$212.53	$212.53	$212.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45