Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $235.15 / $312.23	Facility		$132.47	$235.15	$312.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $110.40 / $162.77	Professional		$110.40	$110.40	$162.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.15 / $656.15 / $820.19	Facility		$656.15	$656.15	$820.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $89.76 / $109.04	Professional		$59.33	$89.76	$109.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $92.00 / $512.44	Facility		$3.84	$92.00	$512.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $119.36 / $149.19	Professional		$49.70	$119.36	$149.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $190.00	Professional		$0.47	$0.47	$190.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $902.82 / $902.82 / $902.82	Facility		$902.82	$902.82	$902.82
United Facility/Professional Facility Modifier Low / Median / High Price $984.23 / $984.23 / $984.23	Facility		$984.23	$984.23	$984.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $56.99 / $133.68	Professional		$39.45	$56.99	$133.68