Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $102.40 / $122.88	Facility		$95.87	$102.40	$122.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $102.40 / $540.00	Professional		$83.89	$102.40	$540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $124.96 / $437.00	Facility		$99.97	$124.96	$437.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.20 / $121.75	Professional		$82.11	$96.20	$121.75
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 $77.23 / $120.00 / $190.03	Professional		$77.23	$120.00	$190.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $116.39 / $174.58	Professional		$0.81	$116.39	$174.58
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 $0.81 / $95.87 / $145.49	Professional		$0.81	$95.87	$145.49
United Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $107.19 / $166.19	Professional		$74.18	$107.19	$166.19