Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $89.24 / $107.09	Facility		$80.70	$89.24	$107.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $89.24 / $477.88	Professional		$78.40	$89.24	$477.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.47 / $105.59 / $105.59	Facility		$84.47	$105.59	$105.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $71.56 / $103.35	Professional		$64.41	$71.56	$103.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.60 / $340.49 / $1,100.63	Facility		$197.60	$340.49	$1,100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $89.67 / $161.43	Professional		$52.62	$89.67	$161.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $94.30 / $135.94	Professional		$0.36	$94.30	$135.94
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $196.74 / $196.74	Facility		$196.74	$196.74	$196.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $80.70 / $122.10	Professional		$0.36	$80.70	$122.10
United Facility/Professional Facility Modifier Low / Median / High Price $401.74 / $401.74 / $401.74	Facility		$401.74	$401.74	$401.74
United Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $83.37 / $136.30	Professional		$45.42	$83.37	$136.30