Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.37 / $277.19 / $1,214.00	Facility		$131.37	$277.19	$1,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $131.37 / $142.19	Professional		$124.96	$131.37	$142.19
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 $124.14 / $150.44 / $182.58	Professional		$124.14	$150.44	$182.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $169.87 / $290.88	Facility		$61.87	$169.87	$290.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $169.03 / $237.32	Professional		$91.00	$169.03	$237.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $105.35 / $172.41	Professional		$1.17	$105.35	$172.41
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $121.02 / $121.02	Facility		$121.02	$121.02	$121.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $87.80 / $119.28	Professional		$0.59	$87.80	$119.28
United Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $67.42 / $73.13	Facility		$63.37	$67.42	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $179.55 / $265.73	Professional		$90.09	$179.55	$265.73