Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $200.18 / $268.31	Facility		$113.84	$200.18	$268.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $94.87 / $237.18	Professional		$79.06	$94.87	$237.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $121.63 / $152.04	Facility		$54.15	$121.63	$152.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $60.06 / $183.74	Professional		$60.06	$60.06	$183.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $142.31 / $440.36	Facility		$79.06	$142.31	$440.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $91.68 / $177.28	Professional		$79.53	$91.68	$177.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $149.11 / $165.68	Professional		$121.63	$149.11	$165.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $165.68 / $165.68	Professional		$165.68	$165.68	$165.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $165.92	Professional		$51.08	$69.59	$165.92