Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $307.72 / $381.91	Facility		$161.96	$307.72	$381.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $293.27	Professional		$165.83	$165.83	$293.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $174.12 / $529.00	Facility		$151.72	$174.12	$529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $165.83	Professional		$161.96	$161.96	$165.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $165.83 / $165.83	Facility		$155.97	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $179.91 / $197.07	Professional		$165.83	$179.91	$197.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $173.59 / $173.59 / $173.59	Facility		$173.59	$173.59	$173.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83