Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $115.26 / $138.31	Facility		$94.90	$115.26	$138.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $108.27 / $653.85	Professional		$88.39	$108.27	$653.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $123.83 / $123.83	Facility		$99.06	$123.83	$123.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $93.54 / $137.49	Professional		$83.63	$93.54	$137.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.37 / $683.06 / $2,269.05	Facility		$407.37	$683.06	$2,269.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $128.35 / $190.13	Professional		$86.63	$128.35	$190.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $124.87 / $160.40	Professional		$0.86	$124.87	$160.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $394.69 / $394.69 / $394.69	Facility		$394.69	$394.69	$394.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $94.90 / $144.08	Professional		$0.86	$94.90	$144.08
United Facility/Professional Facility Modifier Low / Median / High Price $828.27 / $828.27 / $828.27	Facility		$828.27	$828.27	$828.27
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $114.76 / $196.94	Professional		$76.45	$114.76	$196.94