Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.88 / $207.46 / $275.47	Facility		$116.88	$207.46	$275.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $102.63 / $354.35	Professional		$93.65	$102.63	$354.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $124.87 / $156.09	Facility		$55.59	$124.87	$156.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $138.47	Professional		$49.95	$49.95	$138.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $146.11 / $452.12	Facility		$81.17	$146.11	$452.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $69.11 / $182.01	Professional		$62.81	$69.11	$182.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $131.11	Professional		$124.87	$124.87	$131.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $124.87	Professional		$124.87	$124.87	$124.87
United Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $187.31 / $187.31	Facility		$187.31	$187.31	$187.31
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $125.06	Professional		$52.45	$52.45	$125.06