Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.12 / $1,353.35 / $1,353.35	Facility		$108.12	$1,353.35	$1,353.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $110.71 / $595.91	Professional		$90.43	$110.71	$595.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $134.85 / $134.85	Facility		$107.88	$134.85	$134.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $100.43 / $129.54	Professional		$88.85	$100.43	$129.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $203.39 / $670.85	Facility		$120.44	$203.39	$670.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $113.49 / $200.64	Professional		$74.65	$113.49	$200.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $130.78 / $174.72	Professional		$0.35	$130.78	$174.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $117.52 / $117.52	Facility		$117.52	$117.52	$117.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $103.53 / $156.93	Professional		$0.35	$103.53	$156.93
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $104.66 / $171.10	Professional		$65.72	$104.66	$171.10