Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.02 / $321.82 / $427.31	Facility		$210.02	$321.82	$427.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $145.28 / $145.28	Professional		$145.28	$145.28	$145.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $207.41 / $270.95	Facility		$109.93	$207.41	$270.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $117.19 / $174.79	Professional		$45.77	$117.19	$174.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.91 / $250.68 / $701.32	Facility		$125.91	$250.68	$701.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $283.73 / $354.66	Professional		$120.29	$283.73	$354.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $246.92 / $246.92	Professional		$48.43	$246.92	$246.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $48.43 / $48.43	Professional		$48.43	$48.43	$48.43
United Facility/Professional Facility Modifier Low / Median / High Price $290.57 / $290.57 / $290.57	Facility		$290.57	$290.57	$290.57
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $103.71 / $205.63	Professional		$81.36	$103.71	$205.63