Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $250.88 / $302.06	Facility		$131.16	$250.88	$302.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $131.16 / $2,056.54	Professional		$131.15	$131.16	$2,056.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.01 / $137.72 / $418.40	Facility		$120.01	$137.72	$418.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $132.04	Professional		$131.16	$131.16	$132.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $131.16 / $131.16	Facility		$117.01	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $142.29 / $392.50	Professional		$131.16	$142.29	$392.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $106.71 / $106.71 / $106.71	Facility		$106.71	$106.71	$106.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $146.01	Professional		$131.16	$131.16	$146.01