Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $201.15 / $269.61	Facility		$114.40	$201.15	$269.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $95.33 / $238.33	Professional		$68.44	$95.33	$238.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $122.22 / $152.78	Facility		$54.41	$122.22	$152.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $60.36 / $174.28	Professional		$60.36	$60.36	$174.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $142.99 / $442.48	Facility		$79.44	$142.99	$442.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $84.50 / $178.33	Professional		$75.41	$84.50	$178.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $128.33	Professional		$30.56	$30.56	$128.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $30.56	Professional		$30.56	$30.56	$30.56
United Facility/Professional Facility Modifier Low / Median / High Price $183.33 / $183.33 / $183.33	Facility		$183.33	$183.33	$183.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $63.37 / $166.74	Professional		$51.33	$63.37	$166.74