Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $213.15 / $314.24	Facility		$120.08	$213.15	$314.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $100.07 / $250.17	Professional		$67.98	$100.07	$250.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $128.29 / $160.36	Facility		$57.11	$128.29	$160.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $136.87	Professional		$63.35	$63.35	$136.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $150.10 / $464.48	Facility		$83.39	$150.10	$464.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $98.64 / $187.25	Professional		$87.83	$98.64	$187.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $134.69	Professional		$43.65	$43.65	$134.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $192.44 / $192.44	Facility		$192.44	$192.44	$192.44
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $73.31 / $189.24	Professional		$53.88	$73.31	$189.24