Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.96 / $280.37 / $372.28	Facility		$157.96	$280.37	$372.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $131.63 / $1,085.06	Professional		$94.50	$131.63	$1,085.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $168.75 / $210.94	Facility		$75.13	$168.75	$210.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $102.09	Professional		$67.50	$67.50	$102.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $197.44 / $610.97	Facility		$109.69	$197.44	$610.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $205.76 / $246.52	Professional		$36.10	$205.76	$246.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $42.19 / $177.19	Professional		$42.19	$42.19	$177.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $42.19 / $42.19	Professional		$42.19	$42.19	$42.19
United Facility/Professional Facility Modifier Low / Median / High Price $253.13 / $253.13 / $253.13	Facility		$253.13	$253.13	$253.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $177.19	Professional		$70.88	$70.88	$177.19