Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.55 / $347.11 / $460.88	Facility		$195.55	$347.11	$460.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $200.27 / $407.39	Professional		$151.02	$200.27	$407.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $208.92 / $261.14	Facility		$93.01	$208.92	$261.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $103.17 / $157.83	Professional		$103.17	$103.17	$157.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $244.44 / $756.41	Facility		$135.80	$244.44	$756.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $254.35 / $782.17	Professional		$106.19	$254.35	$782.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $71.26 / $208.92	Professional		$71.26	$71.26	$208.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $71.26 / $71.26	Professional		$71.26	$71.26	$71.26
United Facility/Professional Facility Modifier Low / Median / High Price $313.38 / $313.38 / $313.38	Facility		$313.38	$313.38	$313.38
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $119.71 / $285.02	Professional		$87.75	$119.71	$285.02