Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $191.66 / $254.48	Facility		$107.98	$191.66	$254.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $89.98 / $160.30	Professional		$37.32	$89.98	$160.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $115.36 / $144.19	Facility		$51.36	$115.36	$144.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $59.75 / $88.59	Professional		$56.97	$59.75	$88.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $110.97 / $187.45	Facility		$75.81	$110.97	$187.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $103.71 / $168.37	Professional		$58.59	$103.71	$168.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $115.36 / $121.13	Professional		$1.24	$115.36	$121.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $39.64 / $39.64	Professional		$39.64	$39.64	$39.64
United Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $79.16 / $79.25	Facility		$79.16	$79.16	$79.25
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.22 / $170.22	Professional		$48.45	$69.22	$170.22