Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $151.58 / $715.51	Facility		$122.77	$151.58	$715.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $66.58 / $158.53	Professional		$57.03	$66.58	$158.53
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 $89.47 / $92.15 / $146.25	Professional		$89.47	$92.15	$146.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $175.16 / $243.28	Facility		$101.86	$175.16	$243.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $89.39 / $234.40	Professional		$50.36	$89.39	$234.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $49.40 / $67.69	Professional		$1.30	$49.40	$67.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $36.59 / $54.89	Professional		$1.30	$36.59	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $98.52 / $182.26	Professional		$64.04	$98.52	$182.26