Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $362.29 / $917.70	Facility		$204.11	$362.29	$917.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $170.09 / $250.77	Professional		$163.55	$170.09	$250.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $218.06 / $272.58	Facility		$97.08	$218.06	$272.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $112.95 / $160.05	Professional		$87.22	$112.95	$160.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $255.13 / $789.49	Facility		$141.74	$255.13	$789.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $250.69 / $313.36	Professional		$122.11	$250.69	$313.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $218.06 / $228.96	Professional		$190.00	$218.06	$228.96
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $218.06	Professional		$91.59	$91.59	$218.06