Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.25 / $502.77 / $667.57	Facility		$283.25	$502.77	$667.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $236.04 / $1,945.85	Professional		$169.47	$236.04	$1,945.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $302.62 / $378.28	Facility		$134.72	$302.62	$378.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $121.05 / $183.08	Professional		$32.88	$121.05	$183.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $354.06 / $1,095.61	Facility		$196.70	$354.06	$1,095.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $32.10 / $441.64	Professional		$30.49	$32.10	$441.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $14.35 / $302.62	Professional		$14.35	$14.35	$302.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $14.35 / $14.35	Professional		$14.35	$14.35	$14.35
United Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $28.66 / $207.90	Facility		$28.66	$28.66	$207.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $127.10 / $302.62	Professional		$24.50	$127.10	$302.62