Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $247.42 / $331.64	Facility		$117.26	$247.42	$331.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $117.26 / $966.62	Professional		$84.18	$117.26	$966.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $150.33 / $187.91	Facility		$66.93	$150.33	$187.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $105.78	Professional		$60.13	$60.13	$105.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $175.88 / $544.24	Facility		$97.71	$175.88	$544.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $183.43 / $219.77	Professional		$65.13	$183.43	$219.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $157.85	Professional		$37.58	$37.58	$157.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $37.58	Professional		$37.58	$37.58	$37.58
United Facility/Professional Facility Modifier Low / Median / High Price $225.50 / $225.50 / $225.50	Facility		$225.50	$225.50	$225.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $157.85	Professional		$63.14	$63.14	$157.85