Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $35.34 / $91.89	Facility		$34.60	$35.34	$91.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $79.75 / $159.90	Professional		$31.25	$79.75	$159.90
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 $33.34 / $39.42 / $60.27	Professional		$33.34	$39.42	$60.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $68.06	Facility		$68.06	$68.06	$68.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $104.57 / $164.43	Professional		$36.34	$104.57	$164.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $69.08 / $153.07	Professional		$0.96	$69.08	$153.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $331.45 / $331.45 / $331.45	Facility		$331.45	$331.45	$331.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $44.01 / $145.32	Professional		$0.72	$44.01	$145.32
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 $92.21 / $143.55 / $214.99	Professional		$92.21	$143.55	$214.99