Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $121.60 / $145.91	Facility		$109.50	$121.60	$145.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $121.60 / $653.96	Professional		$106.48	$121.60	$653.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $143.36 / $143.36	Facility		$114.69	$143.36	$143.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $104.74 / $140.79	Professional		$84.58	$104.74	$140.79
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 $85.20 / $125.00 / $219.01	Professional		$85.20	$125.00	$219.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $132.59 / $184.52	Professional		$0.67	$132.59	$184.52
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 $0.67 / $109.50 / $165.74	Professional		$0.67	$109.50	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $114.04 / $196.85	Professional		$75.45	$114.04	$196.85