Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.33 / $206.33 / $529.76	Facility		$206.33	$206.33	$529.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $286.58 / $529.76	Professional		$206.33	$286.58	$529.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.84 / $636.84 / $636.84	Facility		$636.84	$636.84	$636.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.56 / $386.54 / $849.12	Professional		$382.56	$386.54	$849.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $468.83	Facility		$397.94	$397.94	$468.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $518.29	Professional		$290.50	$397.94	$518.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $354.14 / $509.47 / $827.89	Professional		$354.14	$509.47	$827.89
United Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $340.41 / $489.58	Professional		$248.77	$340.41	$489.58