Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.01 / $177.77 / $236.04	Facility		$116.01	$177.77	$236.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $83.46 / $83.46	Professional		$80.25	$83.46	$83.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $107.00 / $256.80	Facility		$34.78	$107.00	$256.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $135.44 / $169.31	Professional		$64.73	$135.44	$169.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $125.19 / $173.88	Facility		$69.55	$125.19	$173.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $130.46 / $156.30	Professional		$62.60	$130.46	$156.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $26.75 / $112.35	Professional		$26.75	$26.75	$112.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $26.75 / $26.75	Professional		$26.75	$26.75	$26.75
United Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $160.50 / $160.50	Facility		$160.50	$160.50	$160.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $112.35	Professional		$44.94	$44.94	$112.35