Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $213.60 / $548.42	Facility		$213.60	$213.60	$548.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.60 / $308.64 / $548.42	Professional		$213.60	$308.64	$548.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.28 / $659.28 / $659.28	Facility		$659.28	$659.28	$659.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $461.60 / $831.46	Professional		$374.53	$461.60	$831.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $485.35	Facility		$389.66	$389.66	$485.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.65 / $492.56	Professional		$284.45	$389.65	$492.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $527.41 / $857.06	Professional		$366.62	$527.41	$857.06
United Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $352.42 / $476.06	Professional		$287.64	$352.42	$476.06