Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $652.07 / $13,213.24	Facility		$282.27	$652.07	$13,213.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $282.27 / $483.02	Professional		$282.27	$282.27	$483.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $297.58 / $904.11	Facility		$155.88	$297.58	$904.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $283.42 / $289.08	Professional		$155.88	$283.42	$289.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $289.08 / $289.08	Facility		$155.88	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $340.10	Professional		$289.08	$289.08	$340.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $176.73 / $176.73 / $176.73	Facility		$176.73	$176.73	$176.73
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $283.42	Professional		$283.42	$283.42	$283.42