Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.17 / $291.41 / $386.93	Facility		$164.17	$291.41	$386.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $136.81 / $342.03	Professional		$98.22	$136.81	$342.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $175.40 / $219.25	Facility		$78.09	$175.40	$219.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $106.11	Professional		$70.16	$70.16	$106.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $205.22 / $635.04	Facility		$114.01	$205.22	$635.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $99.60 / $255.96	Professional		$90.53	$99.60	$255.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $184.17	Professional		$43.85	$43.85	$184.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $43.85	Professional		$43.85	$43.85	$43.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $73.67 / $193.38	Professional		$34.57	$73.67	$193.38