Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.12 / $561.11 / $745.03	Facility		$316.12	$561.11	$745.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $263.43 / $2,171.60	Professional		$189.13	$263.43	$2,171.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $337.73 / $422.16	Facility		$150.36	$337.73	$422.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $135.09 / $204.32	Professional		$135.09	$135.09	$204.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $395.14 / $1,222.73	Facility		$219.52	$395.14	$1,222.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $405.43 / $493.04	Professional		$73.00	$405.43	$493.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $337.73	Professional		$32.38	$32.38	$337.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Professional		$32.38	$32.38	$32.38
United Facility/Professional Facility Modifier Low / Median / High Price $506.60 / $506.60 / $506.60	Facility		$506.60	$506.60	$506.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $141.85 / $337.73	Professional		$54.40	$141.85	$337.73