Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.60 / $334.77 / $444.51	Facility		$188.60	$334.77	$444.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $167.50 / $392.93	Professional		$145.66	$167.50	$392.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.71 / $201.50 / $251.88	Facility		$89.71	$201.50	$251.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $99.50 / $121.90	Professional		$99.50	$99.50	$121.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $235.76 / $729.56	Facility		$130.97	$235.76	$729.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $245.59 / $753.67	Professional		$102.36	$245.59	$753.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $201.50	Professional		$68.73	$68.73	$201.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.46 / $274.89	Professional		$84.63	$115.46	$274.89