Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $405.62 / $3,736.48	Facility		$207.13	$405.62	$3,736.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $240.27	Professional		$207.13	$207.13	$240.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.52 / $217.49 / $660.74	Facility		$189.52	$217.49	$660.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $213.91	Professional		$207.13	$207.13	$213.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $207.13 / $207.13	Facility		$204.90	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $224.71 / $247.50	Professional		$210.38	$224.71	$247.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $225.01 / $225.01 / $225.01	Facility		$225.01	$225.01	$225.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $219.56	Professional		$207.13	$207.13	$219.56