Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $160.97 / $193.16	Facility		$148.91	$160.97	$193.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $148.88 / $649.00	Professional		$113.09	$148.88	$649.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.52 / $194.40 / $194.40	Facility		$155.52	$194.40	$194.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $151.44 / $167.97	Professional		$126.02	$151.44	$167.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $462.32 / $1,417.79	Facility		$117.84	$462.32	$1,417.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $157.84 / $290.39	Professional		$91.35	$157.84	$290.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $181.90 / $276.80	Professional		$0.78	$181.90	$276.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $267.14 / $267.14	Facility		$267.14	$267.14	$267.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $148.91 / $237.26	Professional		$0.78	$148.91	$237.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $165.29 / $227.75	Professional		$76.45	$165.29	$227.75