Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $94.42 / $151.72	Facility		$81.36	$94.42	$151.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $85.59 / $484.05	Professional		$72.90	$85.59	$484.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.78 / $105.98 / $105.98	Facility		$84.78	$105.98	$105.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $80.64 / $95.99	Professional		$72.47	$80.64	$95.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $168.41 / $498.40	Facility		$89.48	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $98.00 / $158.66	Professional		$64.69	$98.00	$158.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $104.50 / $156.74	Professional		$0.68	$104.50	$156.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $81.36 / $130.62	Professional		$0.68	$81.36	$130.62
United Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $84.81 / $129.87	Professional		$52.86	$84.81	$129.87