Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $321.64 / $9,283.41	Facility		$164.25	$321.64	$9,283.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $165.90 / $310.70	Professional		$164.25	$165.90	$310.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $172.46 / $523.96	Facility		$150.29	$172.46	$523.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $169.37	Professional		$164.25	$164.25	$169.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $164.25 / $164.25	Facility		$152.51	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $178.20 / $190.52	Professional		$163.68	$178.20	$190.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $168.19 / $168.19 / $168.19	Facility		$168.19	$168.19	$168.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.10	Professional		$164.25	$164.25	$197.10