Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $139.15 / $184.77	Facility		$90.81	$139.15	$184.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $96.32 / $96.32	Professional		$62.82	$96.32	$96.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $83.76 / $201.02	Facility		$27.22	$83.76	$201.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $50.67 / $61.47	Professional		$45.77	$50.67	$61.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $97.99 / $303.23	Facility		$54.44	$97.99	$303.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $96.23 / $120.29	Professional		$96.23	$96.23	$120.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $83.76 / $87.95	Professional		$20.94	$83.76	$87.95
United Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $125.64 / $125.64	Facility		$125.64	$125.64	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $83.76	Professional		$35.18	$35.18	$83.76