Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $727.83 / $900.63	Facility		$391.07	$727.83	$900.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $835.60	Professional		$391.06	$391.07	$835.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.83 / $410.62 / $1,247.51	Facility		$357.83	$410.62	$1,247.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $397.52	Professional		$391.07	$391.07	$397.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $391.07 / $391.07	Facility		$362.75	$391.07	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $376.31 / $424.27 / $442.72	Professional		$376.31	$424.27	$442.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $400.98 / $400.98 / $400.98	Facility		$400.98	$400.98	$400.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $414.53	Professional		$391.07	$391.07	$414.53