Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $202.54 / $268.93	Facility		$114.11	$202.54	$268.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $95.09 / $95.09	Professional		$91.43	$95.09	$95.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $121.91 / $152.38	Facility		$54.27	$121.91	$152.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $846.27 / $846.27	Professional		$73.75	$846.27	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $142.63 / $441.37	Facility		$79.23	$142.63	$441.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $148.41 / $177.81	Professional		$88.05	$148.41	$177.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $30.48 / $128.01	Professional		$30.48	$30.48	$128.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $30.48 / $30.48	Professional		$30.48	$30.48	$30.48
United Facility/Professional Facility Modifier Low / Median / High Price $182.87 / $182.87 / $182.87	Facility		$182.87	$182.87	$182.87
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $63.22 / $166.32	Professional		$51.20	$63.22	$166.32