Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $192.83 / $237.07	Facility		$101.49	$192.83	$237.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $112.20	Professional		$102.94	$102.94	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $108.09 / $328.38	Facility		$94.19	$108.09	$328.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $102.94	Professional		$101.49	$101.49	$102.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $112.95	Facility		$102.94	$102.94	$112.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $192.00	Professional		$102.94	$102.94	$192.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $129.46 / $129.46 / $129.46	Facility		$129.46	$129.46	$129.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94