Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $135.85 / $159.76	Facility		$75.61	$135.85	$159.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.45 / $317.57	Professional		$69.37	$71.45	$317.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $72.84 / $86.89	Facility		$69.37	$72.84	$86.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $77.48	Professional		$69.37	$69.37	$77.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $71.98	Facility		$69.37	$69.37	$71.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $73.26 / $87.26	Professional		$72.43	$73.26	$87.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $66.80 / $66.80	Facility		$66.80	$66.80	$66.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $73.53	Professional		$69.37	$69.37	$73.53