Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.62 / $290.43 / $385.63	Facility		$163.62	$290.43	$385.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $131.11 / $340.88	Professional		$59.03	$131.11	$340.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $174.81 / $218.51	Facility		$77.83	$174.81	$218.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $185.82	Professional		$69.92	$69.92	$185.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $204.53 / $632.91	Facility		$113.63	$204.53	$632.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $97.89 / $254.91	Professional		$87.51	$97.89	$254.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $183.55	Professional		$43.70	$43.70	$183.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Professional		$43.70	$43.70	$43.70
United Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $262.22 / $262.22	Facility		$262.22	$262.22	$262.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $175.08	Professional		$73.42	$73.42	$175.08