Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.77 / $88.77 / $102.43	Facility		$88.77	$88.77	$102.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $88.77 / $111.43	Professional		$82.70	$88.77	$111.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $259.94 / $259.94	Facility		$259.94	$259.94	$259.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $122.85 / $268.93	Professional		$118.12	$122.85	$268.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $191.37	Facility		$136.19	$136.19	$191.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $171.81	Professional		$99.43	$136.19	$171.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $207.95 / $374.31	Professional		$144.55	$207.95	$374.31
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $100.63 / $167.71	Professional		$78.79	$100.63	$167.71