Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.01 / $319.52 / $424.26	Facility		$180.01	$319.52	$424.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $150.01 / $1,236.61	Professional		$107.70	$150.01	$1,236.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $192.32 / $240.40	Facility		$85.62	$192.32	$240.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $76.93 / $190.20	Professional		$76.93	$76.93	$190.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $225.02 / $696.31	Facility		$125.01	$225.02	$696.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $234.65 / $281.14	Professional		$97.70	$234.65	$281.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $159.63 / $192.32	Professional		$159.63	$159.63	$192.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $159.63 / $159.63	Professional		$159.63	$159.63	$159.63
United Facility/Professional Facility Modifier Low / Median / High Price $288.48 / $288.48 / $288.48	Facility		$288.48	$288.48	$288.48
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $84.62 / $201.48	Professional		$79.59	$84.62	$201.48