Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.17 / $291.41 / $386.93	Facility		$164.17	$291.41	$386.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $136.81 / $1,127.82	Professional		$98.22	$136.81	$1,127.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $175.40 / $219.25	Facility		$78.09	$175.40	$219.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $155.05	Professional		$70.16	$70.16	$155.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $205.22 / $635.04	Facility		$114.01	$205.22	$635.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $102.61 / $255.96	Professional		$87.69	$102.61	$255.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $184.17	Professional		$43.85	$43.85	$184.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $43.85	Professional		$43.85	$43.85	$43.85
United Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $90.17 / $120.50	Facility		$90.17	$90.17	$120.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $179.25	Professional		$73.67	$73.67	$179.25