Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.83 / $432.80 / $574.66	Facility		$243.83	$432.80	$574.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $189.72 / $299.58	Professional		$130.25	$189.72	$299.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $260.50 / $325.63	Facility		$115.97	$260.50	$325.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $104.20 / $191.20	Professional		$104.20	$104.20	$191.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $247.22 / $337.11	Facility		$171.21	$247.22	$337.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $312.70 / $380.27	Professional		$28.54	$312.70	$380.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $260.50 / $260.50	Professional		$65.13	$260.50	$260.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $65.13 / $65.13	Professional		$65.13	$65.13	$65.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $109.41 / $286.55	Professional		$34.57	$109.41	$286.55