Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.28 / $634.16 / $842.04	Facility		$357.28	$634.16	$842.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $300.00 / $600.00	Professional		$213.75	$300.00	$600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.93 / $381.70 / $477.13	Facility		$169.93	$381.70	$477.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $152.68 / $649.25	Professional		$152.68	$152.68	$649.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.11 / $446.60 / $1,381.97	Facility		$248.11	$446.60	$1,381.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $457.88 / $557.03	Professional		$85.50	$457.88	$557.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $37.93 / $381.70	Professional		$37.93	$37.93	$381.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $37.93 / $37.93	Professional		$37.93	$37.93	$37.93
United Facility/Professional Facility Modifier Low / Median / High Price $572.54 / $572.54 / $572.54	Facility		$572.54	$572.54	$572.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $160.31 / $305.74	Professional		$63.72	$160.31	$305.74