Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $49.30 / $81.18	Facility		$44.77	$49.30	$81.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $69.37 / $126.11	Professional		$44.77	$69.37	$126.11
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 $52.84 / $76.65 / $117.93	Professional		$52.84	$76.65	$117.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $42.54 / $42.54	Facility		$42.54	$42.54	$42.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $67.70 / $124.25	Professional		$40.71	$67.70	$124.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $64.76 / $121.49	Professional		$36.47	$64.76	$121.49
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $222.33 / $222.33	Facility		$39.61	$222.33	$222.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $45.12 / $74.23	Professional		$40.53	$45.12	$74.23
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 $70.70 / $87.78 / $131.78	Professional		$70.70	$87.78	$131.78