Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.52 / $173.01 / $207.61	Facility		$158.52	$173.01	$207.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $173.01 / $943.89	Professional		$154.83	$173.01	$943.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $206.34 / $206.34	Facility		$165.07	$206.34	$206.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.22 / $141.05 / $199.97	Professional		$126.22	$141.05	$199.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.43 / $1,511.10 / $4,408.27	Facility		$791.43	$1,511.10	$4,408.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $181.95 / $317.04	Professional		$120.97	$181.95	$317.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $197.75 / $256.00	Professional		$1.22	$197.75	$256.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $873.16 / $873.16 / $873.16	Facility		$873.16	$873.16	$873.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $158.52 / $240.00	Professional		$1.22	$158.52	$240.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $166.01 / $271.39	Professional		$100.61	$166.01	$271.39