Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $203.05 / $643.79	Facility		$114.40	$203.05	$643.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $111.74 / $238.33	Professional		$91.67	$111.74	$238.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $122.22 / $152.78	Facility		$54.41	$122.22	$152.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $60.36 / $107.55	Professional		$60.36	$60.36	$107.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $142.99 / $442.48	Facility		$79.44	$142.99	$442.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $148.85 / $456.92	Professional		$62.08	$148.85	$456.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $128.33	Professional		$41.69	$41.69	$128.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $83.87 / $83.87 / $139.29	Facility		$83.87	$83.87	$139.29
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.03 / $166.74	Professional		$51.33	$70.03	$166.74