Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $187.80 / $220.86	Facility		$104.53	$187.80	$220.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $682.20	Professional		$95.90	$96.86	$682.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $100.70 / $305.92	Facility		$87.75	$100.70	$305.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $112.11	Professional		$95.90	$95.90	$112.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $133.69	Facility		$95.90	$95.90	$133.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $192.67	Professional		$95.90	$95.90	$192.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $104.04 / $240.00	Professional		$104.04	$104.04	$240.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $169.69 / $169.69 / $169.69	Facility		$169.69	$169.69	$169.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $101.65	Professional		$95.90	$95.90	$101.65