Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $111.91 / $148.59	Facility		$63.05	$111.91	$148.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $52.54 / $433.13	Professional		$50.52	$52.54	$433.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $67.36 / $84.20	Facility		$29.99	$67.36	$84.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $40.75 / $51.73	Professional		$33.26	$40.75	$51.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $78.80 / $243.85	Facility		$43.78	$78.80	$243.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $77.23 / $96.54	Professional		$50.42	$77.23	$96.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $67.36 / $70.73	Professional		$0.65	$67.36	$70.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Professional		$23.15	$23.15	$23.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.07 / $94.11	Professional		$28.29	$40.07	$94.11