Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $249.21 / $330.90	Facility		$140.40	$249.21	$330.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $117.00 / $292.50	Professional		$84.00	$117.00	$292.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $126.00 / $360.00	Facility		$48.75	$126.00	$360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $97.33	Professional		$60.00	$60.00	$97.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $175.50 / $543.08	Facility		$97.50	$175.50	$543.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $166.16 / $199.07	Professional		$87.75	$166.16	$199.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $157.50	Professional		$37.50	$37.50	$157.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $157.50	Professional		$63.00	$63.00	$157.50