Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $411.81 / $499.52	Facility		$216.90	$411.81	$499.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $251.61	Professional		$216.90	$216.90	$251.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.46 / $227.75 / $691.91	Facility		$198.46	$227.75	$691.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $224.92	Professional		$216.90	$216.90	$224.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Facility		$216.90	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $235.32 / $254.90	Professional		$216.90	$235.32	$254.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $228.09 / $228.09	Facility		$228.09	$228.09	$228.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $229.91	Professional		$216.90	$216.90	$229.91