Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $539.25 / $716.02	Facility		$303.80	$539.25	$716.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $194.75 / $632.92	Professional		$181.76	$194.75	$632.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $324.58 / $405.73	Facility		$144.50	$324.58	$405.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $129.83 / $345.03	Professional		$129.83	$129.83	$345.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $379.76 / $1,175.16	Facility		$210.98	$379.76	$1,175.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $181.76 / $473.63	Professional		$162.41	$181.76	$473.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $81.15 / $324.58	Professional		$81.15	$81.15	$324.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $81.15 / $81.15	Professional		$81.15	$81.15	$81.15
United Facility/Professional Facility Modifier Low / Median / High Price $486.87 / $486.87 / $486.87	Facility		$486.87	$486.87	$486.87
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $136.32 / $340.81	Professional		$136.32	$136.32	$340.81