Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $738.78 / $904.23	Facility		$392.63	$738.78	$904.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $396.56 / $815.40	Professional		$392.63	$396.56	$815.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.26 / $412.26 / $1,252.49	Facility		$359.26	$412.26	$1,252.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $403.50	Professional		$392.63	$392.63	$403.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $392.63 / $392.63	Facility		$373.77	$392.63	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $381.92 / $425.97 / $460.15	Professional		$381.92	$425.97	$460.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $413.08 / $413.08 / $413.08	Facility		$413.08	$413.08	$413.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $416.19	Professional		$392.63	$392.63	$416.19