Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $334.06 / $417.35	Facility		$175.82	$334.06	$417.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $181.22 / $449.57	Professional		$181.21	$181.22	$449.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.82 / $190.28 / $578.09	Facility		$165.82	$190.28	$578.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $175.82 / $181.22	Professional		$175.82	$175.82	$181.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.84 / $181.22 / $181.22	Facility		$173.84	$181.22	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $181.22 / $196.61	Professional		$70.50	$181.22	$196.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $192.94 / $192.94 / $192.94	Facility		$192.94	$192.94	$192.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22