Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $263.47 / $320.60	Facility		$139.21	$263.47	$320.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.60 / $265.12	Professional		$139.21	$140.60	$265.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.38 / $146.16 / $444.08	Facility		$127.38	$146.16	$444.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $143.90	Professional		$139.21	$139.21	$143.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.43 / $139.21 / $139.21	Facility		$136.43	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $151.03 / $161.16	Professional		$136.99	$151.03	$161.16
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $148.16 / $148.16	Facility		$148.16	$148.16	$148.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $167.05	Professional		$139.21	$139.21	$167.05