Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $167.99 / $223.06	Facility		$94.64	$167.99	$223.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $151.68 / $300.00	Professional		$73.64	$151.68	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $101.12 / $126.40	Facility		$45.02	$101.12	$126.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $40.45 / $61.17	Professional		$40.45	$40.45	$61.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $118.31 / $366.12	Facility		$65.73	$118.31	$366.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $123.45 / $147.91	Professional		$51.43	$123.45	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $106.18	Professional		$25.28	$25.28	$106.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Professional		$25.28	$25.28	$25.28
United Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $151.68 / $151.68	Facility		$151.68	$151.68	$151.68
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $101.12	Professional		$42.47	$42.47	$101.12