Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $189.66 / $230.23	Facility		$99.82	$189.66	$230.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $256.33	Professional		$99.97	$99.97	$256.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $104.97 / $125.22	Facility		$99.97	$104.97	$125.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.97	Professional		$99.82	$99.82	$99.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $99.97 / $99.97	Facility		$98.83	$99.97	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $108.45 / $117.42	Professional		$99.97	$108.45	$117.42
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $109.28 / $109.28	Facility		$109.28	$109.28	$109.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97