Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $403.48 / $492.47	Facility		$212.36	$403.48	$492.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $233.09	Professional		$213.84	$215.97	$233.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.66 / $224.53 / $682.15	Facility		$195.66	$224.53	$682.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $212.36 / $213.84	Professional		$212.36	$212.36	$213.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.89 / $213.84 / $213.84	Facility		$209.89	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $232.00 / $243.00	Professional		$213.84	$232.00	$243.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $231.93 / $231.93 / $231.93	Facility		$231.93	$231.93	$231.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84