Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $449.58 / $544.94	Facility		$236.62	$449.58	$544.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $238.98 / $538.10	Professional		$236.62	$238.98	$538.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.51 / $248.45 / $754.82	Facility		$216.51	$248.45	$754.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $245.54	Professional		$236.62	$236.62	$245.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $236.62 / $236.62	Facility		$233.12	$236.62	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $256.70 / $271.88	Professional		$231.10	$256.70	$271.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $253.83 / $253.83 / $253.83	Facility		$253.83	$253.83	$253.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $250.82	Professional		$236.62	$236.62	$250.82