Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.20 / $295.01 / $391.71	Facility		$166.20	$295.01	$391.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $138.50 / $1,141.71	Professional		$133.16	$138.50	$1,141.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $177.56 / $221.95	Facility		$79.05	$177.56	$221.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $107.42 / $136.36	Professional		$71.02	$107.42	$136.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.41 / $207.74 / $642.83	Facility		$115.41	$207.74	$642.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $204.02 / $255.03	Professional		$85.23	$204.02	$255.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $186.44	Professional		$177.56	$177.56	$186.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $177.56	Professional		$74.58	$74.58	$177.56