Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $119.35 / $143.22	Facility		$102.61	$119.35	$143.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $119.35 / $649.82	Professional		$104.49	$119.35	$649.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $133.28 / $133.28	Facility		$106.62	$133.28	$133.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $112.07 / $175.85	Professional		$85.79	$112.07	$175.85
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 $101.96 / $169.83 / $261.18	Professional		$101.96	$169.83	$261.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $135.13 / $175.50	Professional		$0.93	$135.13	$175.50
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 $0.93 / $102.61 / $155.93	Professional		$0.93	$102.61	$155.93
United Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $127.61 / $226.50	Professional		$99.02	$127.61	$226.50