Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $186.12 / $247.13	Facility		$104.86	$186.12	$247.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $87.38 / $87.38	Professional		$84.02	$87.38	$87.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $112.02 / $268.85	Facility		$36.40	$112.02	$268.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $58.02 / $82.22	Professional		$6.91	$58.02	$82.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $131.06 / $405.55	Facility		$72.81	$131.06	$405.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $160.55	Professional		$128.44	$128.44	$160.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $117.62	Professional		$112.02	$112.02	$117.62
United Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $168.03 / $168.03	Facility		$168.03	$168.03	$168.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $112.02	Professional		$47.05	$47.05	$112.02