Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $547.45 / $726.90	Facility		$308.42	$547.45	$726.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $257.02 / $2,118.75	Professional		$184.53	$257.02	$2,118.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $329.51 / $411.89	Facility		$146.69	$329.51	$411.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $350.27	Professional		$131.80	$131.80	$350.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $385.52 / $1,192.98	Facility		$214.18	$385.52	$1,192.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $184.53 / $480.98	Professional		$164.75	$184.53	$480.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $82.38 / $329.51	Professional		$82.38	$82.38	$329.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $82.38 / $82.38	Professional		$82.38	$82.38	$82.38
United Facility/Professional Facility Modifier Low / Median / High Price $494.27 / $494.27 / $494.27	Facility		$494.27	$494.27	$494.27
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $345.99	Professional		$138.38	$138.38	$345.99