Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $158.71 / $210.73	Facility		$89.41	$158.71	$210.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $69.56 / $109.85	Professional		$47.75	$69.56	$109.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $95.52 / $119.40	Facility		$42.53	$95.52	$119.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $57.78 / $73.15	Professional		$39.86	$57.78	$73.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $111.76 / $345.84	Facility		$62.09	$111.76	$345.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $109.86 / $137.32	Professional		$58.70	$109.86	$137.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $95.52 / $100.30	Professional		$27.75	$95.52	$100.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $27.75 / $27.75	Professional		$27.75	$27.75	$27.75
United Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $55.40 / $55.40	Facility		$55.40	$55.40	$55.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.62 / $99.68	Professional		$40.11	$46.62	$99.68