Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $484.67 / $589.78	Facility		$256.08	$484.67	$589.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $258.64 / $518.21	Professional		$256.08	$258.64	$518.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.32 / $268.89 / $816.93	Facility		$234.32	$268.89	$816.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $264.72	Professional		$256.08	$256.08	$264.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.41 / $256.08 / $256.08	Facility		$248.41	$256.08	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $277.83 / $299.45	Professional		$254.53	$277.83	$299.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $268.01 / $268.01 / $268.01	Facility		$268.01	$268.01	$268.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $271.45	Professional		$256.08	$256.08	$271.45