Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $199.37 / $264.72	Facility		$112.32	$199.37	$264.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $93.60 / $771.60	Professional		$67.20	$93.60	$771.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $120.00 / $150.00	Facility		$53.42	$120.00	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $72.59	Professional		$48.00	$48.00	$72.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $140.40 / $434.46	Facility		$78.00	$140.40	$434.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $146.22 / $175.19	Professional		$60.92	$146.22	$175.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $126.00	Professional		$30.00	$30.00	$126.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $120.00	Professional		$50.40	$50.40	$120.00