Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.99 / $142.50 / $189.21	Facility		$92.99	$142.50	$189.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $66.90 / $98.64	Professional		$64.33	$66.90	$98.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $96.12 / $125.56	Facility		$50.94	$96.12	$125.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $51.89 / $78.95	Professional		$45.77	$51.89	$78.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $110.99 / $310.52	Facility		$55.75	$110.99	$310.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $131.75 / $164.68	Professional		$55.75	$131.75	$164.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $114.43 / $114.43	Professional		$21.44	$114.43	$114.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Professional		$21.44	$21.44	$21.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $40.95 / $85.77	Professional		$36.02	$40.95	$85.77