Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $154.31 / $181.48	Facility		$78.80	$154.31	$181.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $85.89 / $5,705.70	Professional		$78.80	$85.89	$5,705.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $82.74 / $251.37	Facility		$72.09	$82.74	$251.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $81.70	Professional		$78.80	$78.80	$81.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $78.79 / $81.43	Facility		$78.79	$78.79	$81.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $85.49 / $136.57	Professional		$78.80	$85.49	$136.57
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $90.83 / $90.83	Facility		$90.83	$90.83	$90.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $78.80 / $88.26	Professional		$51.22	$78.80	$88.26