Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $121.16 / $130.26	Facility		$111.15	$121.16	$130.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $122.27	Professional		$111.15	$111.15	$122.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $402.90 / $402.90	Professional		$130.26	$402.90	$402.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $120.59 / $474.00	Professional		$120.59	$120.59	$474.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $127.38	Professional		$127.38	$127.38	$127.38
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15