Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $484.06 / $642.74	Facility		$272.70	$484.06	$642.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $239.46 / $568.15	Professional		$218.52	$239.46	$568.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $291.36 / $364.20	Facility		$129.71	$291.36	$364.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $116.54 / $257.56	Professional		$116.54	$116.54	$257.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $340.88 / $1,054.84	Facility		$189.38	$340.88	$1,054.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $170.45 / $425.38	Professional		$145.49	$170.45	$425.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $72.84 / $291.36	Professional		$72.84	$72.84	$291.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $72.84 / $72.84	Professional		$72.84	$72.84	$72.84
United Facility/Professional Facility Modifier Low / Median / High Price $437.04 / $437.04 / $437.04	Facility		$437.04	$437.04	$437.04
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $291.80	Professional		$122.37	$122.37	$291.80