Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $246.57 / $327.39	Facility		$138.91	$246.57	$327.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $115.76 / $954.28	Professional		$78.65	$115.76	$954.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $148.41 / $185.51	Facility		$66.06	$148.41	$185.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $89.78 / $113.97	Professional		$73.29	$89.78	$113.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $173.65 / $537.34	Facility		$96.47	$173.65	$537.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $170.57 / $213.21	Professional		$89.31	$170.57	$213.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $148.41 / $155.83	Professional		$1.19	$148.41	$155.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
United Facility/Professional Facility Modifier Low / Median / High Price $222.62 / $222.62 / $222.62	Facility		$222.62	$222.62	$222.62
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $84.91 / $148.41	Professional		$62.33	$84.91	$148.41