Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $73.58 / $103.35	Facility		$66.95	$73.58	$103.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $91.72 / $361.70	Professional		$62.06	$91.72	$361.70
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 $64.97 / $78.14 / $117.65	Professional		$64.97	$78.14	$117.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $58.54 / $58.54	Facility		$58.54	$58.54	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $103.35 / $160.19	Professional		$66.23	$103.35	$160.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $86.31 / $160.02	Professional		$0.26	$86.31	$160.02
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 $0.18 / $88.88 / $162.59	Professional		$0.18	$88.88	$162.59
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 $84.28 / $110.93 / $168.57	Professional		$84.28	$110.93	$168.57