Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $362.29 / $481.05	Facility		$204.11	$362.29	$481.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $249.36 / $353.07	Professional		$163.55	$249.36	$353.07
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 $105.40 / $105.40 / $240.27	Professional		$105.40	$105.40	$240.27
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 $155.13 / $170.69 / $318.22	Professional		$155.13	$170.69	$318.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $73.34 / $218.06	Professional		$73.34	$73.34	$218.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $73.34 / $73.34	Professional		$73.34	$73.34	$73.34
United Facility/Professional Facility Modifier Low / Median / High Price $327.08 / $327.08 / $327.08	Facility		$327.08	$327.08	$327.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $123.22 / $381.38	Professional		$91.59	$123.22	$381.38