Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $239.86 / $293.52	Facility		$126.24	$239.86	$293.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $355.46	Professional		$127.45	$127.45	$355.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $133.82 / $159.63	Facility		$127.45	$133.82	$159.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $127.45	Professional		$126.24	$126.24	$127.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $133.18	Facility		$127.45	$127.45	$133.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $138.27 / $215.54	Professional		$127.45	$138.27	$215.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $150.22 / $150.22	Facility		$150.22	$150.22	$150.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45