Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $412.47 / $499.96	Facility		$217.09	$412.47	$499.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $251.82	Professional		$217.09	$217.09	$251.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $227.94 / $692.52	Facility		$198.64	$227.94	$692.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $225.28	Professional		$217.09	$217.09	$225.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Facility		$217.09	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $251.88 / $251.88	Professional		$209.06	$251.88	$251.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $237.35 / $237.35	Facility		$237.35	$237.35	$237.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $230.12	Professional		$217.09	$217.09	$230.12