Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $318.99 / $423.55	Facility		$179.71	$318.99	$423.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $149.76 / $1,234.56	Professional		$107.52	$149.76	$1,234.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $192.00 / $460.80	Facility		$62.40	$192.00	$460.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $116.16	Professional		$33.47	$33.47	$116.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $224.64 / $695.14	Facility		$124.80	$224.64	$695.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $50.34 / $280.61	Professional		$41.94	$50.34	$280.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $20.92 / $192.00	Professional		$20.92	$20.92	$192.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $20.92 / $20.92	Professional		$20.92	$20.92	$20.92
United Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $288.00 / $288.00	Facility		$288.00	$288.00	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $192.00	Professional		$35.14	$80.64	$192.00