Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.24 / $623.45 / $827.81	Facility		$351.24	$623.45	$827.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $292.70 / $2,412.86	Professional		$80.19	$292.70	$2,412.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $375.25 / $469.06	Facility		$167.06	$375.25	$469.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $150.10 / $451.25	Professional		$150.10	$150.10	$451.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.91 / $439.04 / $1,358.58	Facility		$243.91	$439.04	$1,358.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $450.16 / $547.59	Professional		$52.55	$450.16	$547.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $23.31 / $375.25	Professional		$23.31	$23.31	$375.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $23.31 / $23.31	Professional		$23.31	$23.31	$23.31
United Facility/Professional Facility Modifier Low / Median / High Price $562.88 / $562.88 / $562.88	Facility		$562.88	$562.88	$562.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $157.61 / $375.25	Professional		$39.15	$157.61	$375.25