Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $87.29 / $104.75	Facility		$78.72	$87.29	$104.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $87.29 / $469.88	Professional		$76.97	$87.29	$469.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $102.54 / $102.54	Facility		$82.03	$102.54	$102.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $87.73 / $106.46	Professional		$65.56	$87.73	$106.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.54 / $462.32 / $1,417.79	Facility		$254.54	$462.32	$1,417.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $107.78 / $161.97	Professional		$64.16	$107.78	$161.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $95.25 / $133.60	Professional		$0.85	$95.25	$133.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $267.14 / $267.14	Facility		$267.14	$267.14	$267.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $78.72 / $120.00	Professional		$0.85	$78.72	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $82.65 / $150.43	Professional		$70.50	$82.65	$150.43