Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.62 / $290.43 / $385.63	Facility		$163.62	$290.43	$385.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $136.35 / $340.88	Professional		$97.89	$136.35	$340.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $174.81 / $218.51	Facility		$77.83	$174.81	$218.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $180.36 / $279.94	Professional		$105.76	$180.36	$279.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $204.53 / $284.08	Facility		$113.63	$204.53	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $212.76 / $254.91	Professional		$139.85	$212.76	$254.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $183.55	Professional		$43.70	$43.70	$183.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Professional		$43.70	$43.70	$43.70
United Facility/Professional Facility Modifier Low / Median / High Price $120.09 / $120.09 / $120.09	Facility		$120.09	$120.09	$120.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $279.70	Professional		$73.42	$73.42	$279.70