Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $748.35 / $902.98	Facility		$392.09	$748.35	$902.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $407.93 / $550.00	Professional		$392.09	$407.93	$550.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.76 / $411.69 / $1,250.77	Facility		$358.76	$411.69	$1,250.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $393.87	Professional		$392.09	$392.09	$393.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Facility		$392.09	$392.09	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $392.09 / $401.85	Professional		$106.25	$392.09	$401.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $425.38 / $471.86	Professional		$392.09	$425.38	$471.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $438.72 / $438.72 / $438.72	Facility		$438.72	$438.72	$438.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09
United Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $392.09 / $392.09	Professional		$254.86	$392.09	$392.09