Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $145.80 / $195.43	Facility		$69.09	$145.80	$195.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $61.38 / $101.82	Professional		$40.15	$61.38	$101.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $291.26 / $364.08	Facility		$291.26	$291.26	$364.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.01 / $37.01	Professional		$36.00	$37.01	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.95 / $320.72	Facility		$2.39	$2.95	$320.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $44.30 / $94.94	Professional		$30.62	$44.30	$94.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $190.00 / $425.00	Professional		$1.26	$190.00	$425.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $35.36 / $49.80	Professional		$25.58	$35.36	$49.80