Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $160.61 / $194.77	Facility		$84.57	$160.61	$194.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $102.28	Professional		$84.57	$84.57	$102.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $88.80 / $269.77	Facility		$77.38	$88.80	$269.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $87.71	Professional		$84.57	$84.57	$87.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Facility		$84.57	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $98.61 / $100.18	Professional		$81.84	$98.61	$100.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $126.22 / $126.22 / $126.22	Facility		$126.22	$126.22	$126.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $89.64	Professional		$84.57	$84.57	$89.64