Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $329.92 / $523.59	Facility		$238.46	$329.92	$523.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $5,282.63	Professional		$238.46	$238.46	$5,282.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $250.38 / $760.69	Facility		$218.19	$250.38	$760.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $238.46 / $238.46	Professional		$180.19	$238.46	$238.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $238.46 / $255.32	Facility		$238.46	$238.46	$255.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $238.46 / $238.46	Professional		$188.40	$238.46	$238.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $258.70 / $900.00	Professional		$258.70	$258.70	$900.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $365.67 / $365.67 / $365.67	Facility		$365.67	$365.67	$365.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Professional		$238.46	$238.46	$238.46
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $252.77	Professional		$238.46	$238.46	$252.77