Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $169.00 / $202.80	Facility		$167.15	$169.00	$202.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $178.88 / $1,019.17	Professional		$160.99	$178.88	$1,019.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.94 / $217.43 / $217.43	Facility		$173.94	$217.43	$217.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $207.45 / $282.26	Professional		$158.75	$207.45	$282.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,166.76 / $6,020.05 / $17,638.84	Facility		$3,166.76	$6,020.05	$17,638.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $270.06 / $631.58	Professional		$157.33	$270.06	$631.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $227.55 / $295.52	Professional		$2.43	$227.55	$295.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.55 / $3,478.55 / $3,478.55	Facility		$3,478.55	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $167.15 / $262.56	Professional		$2.43	$167.15	$262.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,438.74 / $6,438.74 / $6,438.74	Facility		$6,438.74	$6,438.74	$6,438.74
United Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $235.35 / $563.79	Professional		$173.95	$235.35	$563.79