Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $375.54 / $455.60	Facility		$197.83	$375.54	$455.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $229.49	Professional		$197.83	$197.83	$229.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $207.72 / $631.08	Facility		$181.01	$207.72	$631.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $205.11	Professional		$197.83	$197.83	$205.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Facility		$197.83	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $231.33 / $231.33	Professional		$192.00	$231.33	$231.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $210.49 / $210.49	Facility		$210.49	$210.49	$210.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $209.70	Professional		$197.83	$197.83	$209.70