Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $390.03 / $471.22	Facility		$204.61	$390.03	$471.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $206.65 / $280.99	Professional		$204.61	$206.65	$280.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $214.84 / $256.29	Facility		$204.61	$214.84	$256.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $205.28	Professional		$204.61	$204.61	$205.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $204.61 / $205.56	Facility		$200.06	$204.61	$205.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $261.38	Professional		$200.06	$204.61	$261.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $194.23 / $221.98 / $235.37	Professional		$194.23	$221.98	$235.37
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $227.25 / $227.25 / $227.25	Facility		$227.25	$227.25	$227.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
United Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $204.61 / $211.90	Professional		$133.00	$204.61	$211.90