Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $307.55 / $408.36	Facility		$173.27	$307.55	$408.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $144.38 / $1,190.32	Professional		$103.67	$144.38	$1,190.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $185.12 / $231.40	Facility		$82.42	$185.12	$231.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $74.05 / $444.30	Professional		$74.05	$74.05	$444.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $216.59 / $670.24	Facility		$120.33	$216.59	$670.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $225.46 / $725.00	Professional		$94.04	$225.46	$725.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $46.28 / $190.00	Professional		$46.28	$46.28	$190.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $46.28 / $46.28	Professional		$46.28	$46.28	$46.28
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $77.75 / $185.12	Professional		$77.75	$77.75	$185.12