Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $691.06 / $996.44	Facility		$416.78	$691.06	$996.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,019.20	Professional		$416.78	$416.78	$1,019.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $416.78 / $1,000.27	Facility		$135.44	$416.78	$1,000.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $166.71 / $252.15	Professional		$166.71	$166.71	$252.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.24 / $395.53 / $487.64	Facility		$286.24	$395.53	$487.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.69 / $507.69 / $608.27	Professional		$507.69	$507.69	$608.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $416.78 / $437.62	Professional		$104.20	$416.78	$437.62
United Facility/Professional Facility Modifier Low / Median / High Price $625.16 / $625.16 / $625.16	Facility		$625.16	$625.16	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $184.76 / $621.41	Professional		$173.78	$184.76	$621.41