Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $575.54 / $756.17	Facility		$328.34	$575.54	$756.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $331.62 / $2,736.67	Professional		$328.34	$331.62	$2,736.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.43 / $344.76 / $1,047.40	Facility		$300.43	$344.76	$1,047.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.36 / $328.34 / $328.34	Professional		$314.36	$328.34	$328.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.80 / $328.34 / $328.34	Facility		$324.80	$328.34	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $464.63	Professional		$328.34	$328.34	$464.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $885.00	Professional		$356.22	$356.22	$885.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $311.80 / $311.80 / $311.80	Facility		$311.80	$311.80	$311.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Professional		$328.34	$328.34	$328.34
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $348.04	Professional		$328.34	$328.34	$348.04