Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $715.31 / $869.43	Facility		$376.48	$715.31	$869.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $377.52 / $788.46	Professional		$377.51	$377.52	$788.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.43 / $396.40 / $1,204.29	Facility		$345.43	$396.40	$1,204.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $376.48 / $377.52	Professional		$376.48	$376.48	$377.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.97 / $377.52 / $377.52	Facility		$369.97	$377.52	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $409.57 / $442.80	Professional		$377.52	$409.57	$442.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $410.34 / $410.34 / $410.34	Facility		$410.34	$410.34	$410.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $420.26	Professional		$377.52	$377.52	$420.26