Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $722.34 / $878.27	Facility		$380.18	$722.34	$878.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $906.91	Professional		$381.36	$381.36	$906.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.94 / $400.43 / $1,216.54	Facility		$348.94	$400.43	$1,216.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $380.18 / $381.36	Professional		$380.18	$380.18	$381.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.02 / $381.36 / $381.36	Facility		$374.02	$381.36	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $413.74 / $451.50	Professional		$381.36	$413.74	$451.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $409.14 / $409.14 / $409.14	Facility		$409.14	$409.14	$409.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36