Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $87.60 / $127.06	Facility		$79.72	$87.60	$127.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $115.62 / $431.92	Professional		$76.37	$115.62	$431.92
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 $80.90 / $92.10 / $139.10	Professional		$80.90	$92.10	$139.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $74.87 / $74.87	Facility		$74.87	$74.87	$74.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $127.06 / $196.94	Professional		$80.48	$127.06	$196.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $108.61 / $200.00	Professional		$0.53	$108.61	$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 $0.36 / $106.49 / $202.79	Professional		$0.36	$106.49	$202.79
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 $106.49 / $138.44 / $219.24	Professional		$106.49	$138.44	$219.24