Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $227.61 / $348.79	Facility		$128.22	$227.61	$348.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $106.86 / $334.77	Professional		$39.31	$106.86	$334.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $137.00 / $171.25	Facility		$60.99	$137.00	$171.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $54.80 / $121.11	Professional		$54.80	$54.80	$121.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $160.29 / $496.01	Facility		$89.05	$160.29	$496.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $80.15 / $200.36	Professional		$68.42	$80.15	$200.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $34.25 / $143.85	Professional		$34.25	$34.25	$143.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $34.25 / $34.25	Professional		$34.25	$34.25	$34.25
United Facility/Professional Facility Modifier Low / Median / High Price $205.50 / $205.50 / $205.50	Facility		$205.50	$205.50	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $143.85	Professional		$57.54	$57.54	$143.85