Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $174.96 / $205.75	Facility		$97.38	$174.96	$205.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $308.27	Professional		$89.34	$90.24	$308.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $93.81 / $284.99	Facility		$81.75	$93.81	$284.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $108.53	Professional		$89.34	$89.34	$108.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $133.32	Facility		$89.34	$89.34	$133.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $96.93 / $154.19	Professional		$96.93	$96.93	$154.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $150.07 / $150.07	Facility		$150.07	$150.07	$150.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $94.70	Professional		$89.34	$89.34	$94.70