Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $240.26 / $354.22	Facility		$144.61	$240.26	$354.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $112.80 / $281.99	Professional		$101.23	$112.80	$281.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $144.61 / $180.76	Facility		$64.38	$144.61	$180.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $158.88	Professional		$70.62	$70.62	$158.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $169.20 / $523.58	Facility		$94.00	$169.20	$523.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $93.45 / $210.85	Professional		$90.71	$93.45	$210.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $42.83 / $151.84	Professional		$42.83	$42.83	$151.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $42.83 / $42.83	Professional		$42.83	$42.83	$42.83
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $103.97 / $225.27	Professional		$86.77	$103.97	$225.27