Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $246.20 / $298.19	Facility		$129.47	$246.20	$298.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $134.71 / $320.70	Professional		$129.47	$134.71	$320.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $135.94 / $413.04	Facility		$118.47	$135.94	$413.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.58	Professional		$129.47	$129.47	$129.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.68 / $129.47 / $129.47	Facility		$128.68	$129.47	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $140.47 / $147.18	Professional		$129.47	$140.47	$147.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Facility		$142.06	$142.06	$142.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47