Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $995.64 / $1,218.89	Facility		$524.02	$995.64	$1,218.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $529.26 / $726.83	Professional		$529.25	$529.26	$726.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.27 / $555.72 / $1,688.34	Facility		$484.27	$555.72	$1,688.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $524.02 / $529.26	Professional		$524.02	$524.02	$529.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.38 / $529.26 / $529.26	Facility		$526.38	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $574.20 / $1,380.00	Professional		$529.26	$574.20	$1,380.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $590.70 / $590.70 / $590.70	Facility		$590.70	$590.70	$590.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26