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 $98.11 / $98.11 / $220.75	Professional		$98.11	$98.11	$220.75
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 $125.99 / $129.82 / $252.81	Professional		$125.99	$129.82	$252.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $59.51 / $181.83	Professional		$59.51	$59.51	$181.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $59.51 / $59.51	Professional		$59.51	$59.51	$59.51
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 / $144.46 / $300.93	Professional		$103.90	$144.46	$300.93