Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $368.08 / $577.20	Facility		$228.92	$368.08	$577.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $72.34 / $291.88	Professional		$43.78	$72.34	$291.88
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 $46.88 / $56.88 / $86.28	Professional		$46.88	$56.88	$86.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $68.41 / $68.41	Facility		$68.41	$68.41	$68.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $85.38 / $137.00	Professional		$48.63	$85.38	$137.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $86.18 / $156.83	Professional		$0.62	$86.18	$156.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $81.12 / $163.37	Professional		$0.42	$81.12	$163.37
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 $70.48 / $91.04 / $151.84	Professional		$70.48	$91.04	$151.84