Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $169.16 / $198.93	Facility		$86.38	$169.16	$198.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $849.59 / $1,960.00	Professional		$86.38	$849.59	$1,960.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $90.70 / $275.55	Facility		$79.04	$90.70	$275.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $91.11	Professional		$86.38	$86.38	$91.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $123.98	Facility		$86.38	$86.38	$123.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $93.72 / $468.00	Professional		$86.38	$93.72	$468.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $151.56 / $151.56	Facility		$151.56	$151.56	$151.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $445.05	Professional		$86.38	$86.38	$445.05