Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.58 / $122.34 / $163.98	Facility		$69.58	$122.34	$163.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $76.45 / $102.07	Professional		$57.98	$76.45	$102.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $74.33 / $92.91	Facility		$33.09	$74.33	$92.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $171.82	Professional		$35.92	$35.92	$171.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $86.96 / $269.08	Facility		$48.31	$86.96	$269.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $90.62 / $272.19	Professional		$37.78	$90.62	$272.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $24.81 / $78.05	Professional		$24.81	$24.81	$78.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $24.81 / $24.81	Professional		$24.81	$24.81	$24.81
United Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $41.69 / $99.25	Professional		$31.22	$41.69	$99.25