Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $157.81 / $209.54	Facility		$88.91	$157.81	$209.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $74.09 / $610.79	Professional		$53.19	$74.09	$610.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $94.99 / $118.74	Facility		$42.29	$94.99	$118.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $140.40	Professional		$38.00	$38.00	$140.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $111.13 / $343.89	Facility		$61.74	$111.13	$343.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $116.01 / $139.00	Professional		$48.27	$116.01	$139.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $23.75 / $99.74	Professional		$23.75	$23.75	$99.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $23.75 / $23.75	Professional		$23.75	$23.75	$23.75
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $94.99	Professional		$39.90	$39.90	$94.99