Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $220.21 / $542.98	Facility		$114.48	$220.21	$542.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $154.41 / $708.80	Professional		$112.45	$154.41	$708.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $118.07 / $358.72	Facility		$102.89	$118.07	$358.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $114.48	Professional		$112.45	$112.45	$114.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $120.68	Facility		$112.45	$112.45	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $122.00 / $432.75	Professional		$112.45	$122.00	$432.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $134.07 / $134.07	Facility		$134.07	$134.07	$134.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45