Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $205.57 / $900.00	Facility		$94.15	$205.57	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $98.26 / $319.26	Professional		$94.45	$98.26	$319.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.42 / $99.17 / $301.30	Facility		$86.42	$99.17	$301.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $94.15 / $94.45	Professional		$94.15	$94.15	$94.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $94.45 / $94.45	Facility		$91.48	$94.45	$94.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $102.47 / $111.10	Professional		$94.45	$102.47	$111.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $101.09 / $101.09	Facility		$101.09	$101.09	$101.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $94.45 / $94.45	Professional		$61.39	$94.45	$94.45