Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $403.18 / $8,927.75	Facility		$212.20	$403.18	$8,927.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $221.91 / $11,231.55	Professional		$203.58	$221.91	$11,231.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.28 / $213.76 / $649.41	Facility		$186.28	$213.76	$649.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $212.20	Professional		$203.58	$203.58	$212.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $218.37	Facility		$203.58	$203.58	$218.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $220.87 / $239.31	Professional		$203.58	$220.87	$239.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $237.48 / $237.48 / $237.48	Facility		$237.48	$237.48	$237.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $226.63	Professional		$203.58	$203.58	$226.63