Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.36 / $302.77 / $421.57	Facility		$159.36	$302.77	$421.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $159.36 / $163.19	Professional		$159.36	$159.36	$163.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $168.00 / $510.40	Facility		$146.40	$168.00	$510.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $163.19 / $163.19	Professional		$160.00	$163.19	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $192.00	Professional		$160.00	$160.00	$192.00