Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $124.50 / $150.00	Facility		$124.50	$124.50	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $124.50 / $127.50	Professional		$120.00	$124.50	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $150.00 / $222.92	Professional		$127.38	$150.00	$222.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $191.07	Professional		$127.38	$127.38	$191.07
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00