Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $150.02 / $657.04	Facility		$71.09	$150.02	$657.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $72.97 / $373.00	Professional		$63.58	$72.97	$373.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $1,545.00	Facility		$1,310.00	$1,310.00	$1,545.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $76.09 / $92.35	Professional		$66.04	$76.09	$92.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $88.01 / $133.13	Professional		$58.49	$88.01	$133.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $83.33 / $121.52	Professional		$1.83	$83.33	$121.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $69.44 / $104.16	Professional		$0.92	$69.44	$104.16
United Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $73.30 / $73.30	Facility		$73.30	$73.30	$73.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $91.35 / $136.19	Professional		$50.58	$91.35	$136.19