Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $1,061.26 / $1,286.13	Facility		$558.46	$1,061.26	$1,286.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $1,422.45	Professional		$558.46	$558.46	$1,422.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $586.38 / $699.53	Facility		$558.46	$586.38	$699.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.55	Professional		$558.46	$558.46	$558.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.22 / $558.46 / $558.46	Facility		$542.22	$558.46	$558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $605.87 / $645.98	Professional		$558.46	$605.87	$645.98
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $594.51 / $594.51 / $594.51	Facility		$594.51	$594.51	$594.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46