Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.57 / $85.57 / $95.22	Facility		$85.57	$85.57	$95.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $95.22 / $139.62	Professional		$95.22	$95.22	$139.62
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 $86.67 / $225.71 / $307.05	Professional		$86.67	$225.71	$307.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $897.42 / $1,536.68	Facility		$34.71	$897.42	$1,536.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $204.60 / $266.02	Professional		$188.94	$204.60	$266.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $38.56 / $381.19	Professional		$2.43	$38.56	$381.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $639.30 / $639.30 / $639.30	Facility		$639.30	$639.30	$639.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Professional		$2.43	$2.43	$2.43
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $122.09 / $327.19	Professional		$95.64	$122.09	$327.19