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 $64.08 / $89.26 / $223.14	Professional		$64.08	$89.26	$223.14
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 / $45.77 / $69.23	Professional		$45.77	$45.77	$69.23
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 / $139.65 / $167.32	Professional		$66.94	$139.65	$167.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $120.15	Professional		$28.61	$28.61	$120.15
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 Professional Modifier Low / Median / High Price $48.06 / $48.06 / $114.43	Professional		$48.06	$48.06	$114.43