Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $348.48 / $422.55	Facility		$183.48	$348.48	$422.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $185.31 / $266.04	Professional		$183.47	$185.31	$266.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $192.65 / $229.83	Facility		$183.48	$192.65	$229.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $190.33	Professional		$183.48	$183.48	$190.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.05 / $183.48 / $183.48	Facility		$180.05	$183.48	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $199.06 / $217.31	Professional		$183.48	$199.06	$217.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $195.48 / $195.48 / $195.48	Facility		$195.48	$195.48	$195.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $194.49	Professional		$183.48	$183.48	$194.49