Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.71 / $169.89 / $225.58	Facility		$95.71	$169.89	$225.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $102.26 / $145.60	Professional		$51.13	$102.26	$145.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $102.26 / $127.83	Facility		$45.53	$102.26	$127.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $140.09	Professional		$40.90	$40.90	$140.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $119.65 / $370.24	Facility		$66.47	$119.65	$370.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $124.33 / $225.77	Professional		$51.93	$124.33	$225.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $107.37	Professional		$25.57	$25.57	$107.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Professional		$25.57	$25.57	$25.57
United Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $153.38 / $153.38	Facility		$153.38	$153.38	$153.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $107.37	Professional		$42.95	$42.95	$107.37