Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.41 / $171.12 / $1,478.17	Facility		$96.41	$171.12	$1,478.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $80.34 / $662.29	Professional		$77.25	$80.34	$662.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $103.00 / $128.75	Facility		$45.86	$103.00	$128.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $62.31 / $79.09	Professional		$50.87	$62.31	$79.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $120.51 / $372.91	Facility		$66.95	$120.51	$372.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $118.12 / $147.65	Professional		$64.64	$118.12	$147.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $103.00 / $108.15	Professional		$0.85	$103.00	$108.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
United Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $154.50 / $154.50	Facility		$154.50	$154.50	$154.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $59.03 / $103.00	Professional		$43.26	$59.03	$103.00