Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $396.62 / $4,925.99	Facility		$172.22	$396.62	$4,925.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.93 / $338.66	Professional		$172.22	$173.93	$338.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.58 / $180.83 / $549.38	Facility		$157.58	$180.83	$549.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $171.94 / $172.22	Professional		$171.94	$171.94	$172.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $172.22 / $172.22	Facility		$162.43	$172.22	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $186.84 / $199.13	Professional		$172.22	$186.84	$199.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $174.31 / $174.31	Facility		$174.31	$174.31	$174.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22