Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $185.63 / $251.50	Facility		$97.70	$185.63	$251.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $157.29 / $423.00	Professional		$114.54	$157.29	$423.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.80 / $120.27 / $365.38	Facility		$104.80	$120.27	$365.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $114.54	Professional		$97.70	$97.70	$114.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $114.54 / $114.54	Facility		$92.14	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $124.26 / $573.60	Professional		$114.54	$124.26	$573.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.84 / $135.84 / $135.84	Facility		$135.84	$135.84	$135.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
United Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $114.54 / $272.45	Professional		$97.70	$114.54	$272.45