Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $150.36 / $168.41	Facility		$150.36	$150.36	$168.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $150.36 / $226.73	Professional		$126.40	$150.36	$226.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $145.35 / $215.63	Professional		$124.77	$145.35	$215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $191.16 / $270.66	Professional		$138.83	$191.16	$270.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $162.12 / $213.46	Professional		$1.62	$162.12	$213.46
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $126.32 / $202.65	Professional		$1.62	$126.32	$202.65
United Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $168.01 / $259.17	Professional		$119.93	$168.01	$259.17