Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.35 / $307.70 / $408.56	Facility		$173.35	$307.70	$408.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $144.46 / $254.33	Professional		$96.30	$144.46	$254.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $185.20 / $231.50	Facility		$82.45	$185.20	$231.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $112.04	Professional		$74.08	$74.08	$112.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $216.68 / $670.52	Facility		$120.38	$216.68	$670.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $105.15 / $270.64	Professional		$95.57	$105.15	$270.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $46.30 / $190.00	Professional		$46.30	$46.30	$190.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $46.30 / $46.30	Professional		$46.30	$46.30	$46.30
United Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $277.80 / $277.80	Facility		$277.80	$277.80	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $185.20	Professional		$77.78	$77.78	$185.20