Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $287.47 / $2,552.00	Facility		$161.94	$287.47	$2,552.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $134.96 / $2,552.00	Professional		$129.77	$134.96	$2,552.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $173.03 / $415.27	Facility		$56.23	$173.03	$415.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $132.88 / $304.00	Professional		$104.68	$132.88	$304.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $202.45 / $281.18	Facility		$112.47	$202.45	$281.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $248.83	Professional		$199.07	$199.07	$248.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $181.68	Professional		$173.03	$173.03	$181.68
United Facility/Professional Facility Modifier Low / Median / High Price $259.55 / $259.55 / $259.55	Facility		$259.55	$259.55	$259.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $173.03	Professional		$72.67	$72.67	$173.03