Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $228.30 / $4,724.63	Facility		$103.71	$228.30	$4,724.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $100.12 / $2,757.20	Professional		$99.12	$100.12	$2,757.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.70 / $104.09 / $316.22	Facility		$90.70	$104.09	$316.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $103.71	Professional		$99.13	$99.13	$103.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $125.30	Facility		$99.13	$99.13	$125.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $107.54 / $208.75	Professional		$99.13	$107.54	$208.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $149.79 / $149.79	Facility		$149.79	$149.79	$149.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $208.75	Professional		$99.13	$99.13	$208.75