Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $152.27 / $202.19	Facility		$85.79	$152.27	$202.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $71.48 / $178.74	Professional		$51.33	$71.48	$178.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.81 / $91.66 / $114.58	Facility		$40.81	$91.66	$114.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $56.58	Professional		$45.27	$45.27	$56.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $107.24 / $331.86	Facility		$59.58	$107.24	$331.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $111.63 / $133.75	Professional		$59.58	$111.63	$133.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $28.29 / $96.24	Professional		$28.29	$28.29	$96.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $28.29 / $28.29	Professional		$28.29	$28.29	$28.29
United Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $137.49 / $137.49	Facility		$137.49	$137.49	$137.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $47.53 / $125.06	Professional		$38.50	$47.53	$125.06