Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $267.89 / $326.11	Facility		$141.00	$267.89	$326.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $147.32 / $296.69	Professional		$141.60	$147.32	$296.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $148.68 / $177.37	Facility		$141.60	$148.68	$177.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $141.60	Professional		$141.00	$141.00	$141.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.88 / $141.60 / $141.60	Facility		$135.88	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $153.63 / $171.07	Professional		$141.60	$153.63	$171.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60