Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.62 / $290.43 / $385.63	Facility		$163.62	$290.43	$385.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $136.35 / $1,124.03	Professional		$97.89	$136.35	$1,124.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $174.81 / $218.51	Facility		$77.83	$174.81	$218.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $105.76	Professional		$69.92	$69.92	$105.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $204.53 / $632.91	Facility		$113.63	$204.53	$632.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $212.76 / $480.50	Professional		$88.88	$212.76	$480.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $43.77 / $183.55	Professional		$43.77	$43.77	$183.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $43.77 / $43.77	Professional		$43.77	$43.77	$43.77
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.53 / $175.08	Professional		$73.42	$73.53	$175.08