Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $217.46 / $217.46	Facility		$112.50	$217.46	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $217.46 / $1,120.00	Professional		$60.00	$217.46	$1,120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $149.16 / $186.45	Facility		$149.16	$149.16	$186.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $291.37 / $413.55	Professional		$225.00	$291.37	$413.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $105.78 / $553.47	Facility		$99.01	$105.78	$553.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38