Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $287.70 / $382.01	Facility		$162.08	$287.70	$382.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $135.07 / $1,113.48	Professional		$96.98	$135.07	$1,113.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $173.17 / $216.46	Facility		$77.09	$173.17	$216.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $85.52 / $189.77	Professional		$85.52	$85.52	$189.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $202.61 / $626.96	Facility		$112.56	$202.61	$626.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $111.46 / $252.81	Professional		$108.17	$111.46	$252.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $51.16 / $181.83	Professional		$51.16	$51.16	$181.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $51.16 / $51.16	Professional		$51.16	$51.16	$51.16
United Facility/Professional Facility Modifier Low / Median / High Price $259.76 / $259.76 / $259.76	Facility		$259.76	$259.76	$259.76
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $124.18 / $320.70	Professional		$103.90	$124.18	$320.70