Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.29 / $536.57 / $712.45	Facility		$302.29	$536.57	$712.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $251.91 / $629.77	Professional		$180.86	$251.91	$629.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.78 / $322.95 / $403.70	Facility		$143.78	$322.95	$403.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $396.52	Professional		$5.95	$5.95	$396.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $377.86 / $1,169.25	Facility		$209.92	$377.86	$1,169.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $393.13 / $471.01	Professional		$209.93	$393.13	$471.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $339.11	Professional		$80.73	$80.73	$339.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Professional		$80.73	$80.73	$80.73
United Facility/Professional Facility Modifier Low / Median / High Price $484.44 / $484.44 / $484.44	Facility		$484.44	$484.44	$484.44
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $150.72 / $358.85	Professional		$135.63	$150.72	$358.85