Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $190.12 / $252.45	Facility		$107.11	$190.12	$252.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $89.26 / $89.26	Professional		$85.82	$89.26	$89.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $114.43 / $143.04	Facility		$50.94	$114.43	$143.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $69.23 / $83.99	Professional		$45.77	$69.23	$83.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $133.88 / $414.30	Facility		$74.38	$133.88	$414.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $131.75 / $164.68	Professional		$66.94	$131.75	$164.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $114.43 / $114.43	Professional		$28.61	$114.43	$114.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
United Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $48.06 / $114.43	Professional		$40.95	$48.06	$114.43