Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $258.83 / $314.75	Facility		$136.66	$258.83	$314.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $138.03 / $290.08	Professional		$136.66	$138.03	$290.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.05 / $143.50 / $435.98	Facility		$125.05	$143.50	$435.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $141.37	Professional		$136.66	$136.66	$141.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $136.66 / $136.66	Facility		$132.91	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $148.27 / $159.53	Professional		$136.66	$148.27	$159.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $143.43 / $143.43 / $143.43	Facility		$143.43	$143.43	$143.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $144.87	Professional		$136.66	$136.66	$144.87