Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $172.40 / $60,750.00	Facility		$168.34	$172.40	$60,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $168.34 / $172.40	Professional		$164.28	$168.34	$172.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.65 / $177.47 / $539.16	Facility		$154.65	$177.47	$539.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.02 / $172.40	Professional		$147.91	$169.02	$172.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $202.82	Professional		$172.40	$172.40	$202.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $182.63 / $182.63 / $182.63	Facility		$182.63	$182.63	$182.63
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $202.82	Professional		$202.82	$202.82	$202.82