Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $291.77 / $475.26	Facility		$94.13	$291.77	$475.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $121.21 / $238.18	Professional		$93.98	$121.21	$238.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $118.22 / $172.56	Professional		$108.90	$118.22	$172.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $154.87 / $226.46	Professional		$103.44	$154.87	$226.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $118.40 / $200.00	Professional		$1.41	$118.40	$200.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $106.73 / $197.33	Professional		$0.96	$106.73	$197.33
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $160.09 / $234.35	Professional		$122.86	$160.09	$234.35