Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $939.42 / $1,141.25	Facility		$494.43	$939.42	$1,141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $540.14	Professional		$495.55	$495.55	$540.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.43 / $520.33 / $1,580.80	Facility		$453.43	$520.33	$1,580.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $494.43 / $495.55	Professional		$494.43	$494.43	$495.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.40 / $495.55 / $495.55	Facility		$484.40	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $495.54 / $537.62 / $560.99	Professional		$495.54	$537.62	$560.99
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $535.35 / $535.35 / $535.35	Facility		$535.35	$535.35	$535.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $495.54 / $495.54 / $495.54	Professional		$495.54	$495.54	$495.54
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55