Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.54 / $288.51 / $383.08	Facility		$162.54	$288.51	$383.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $170.92 / $338.64	Professional		$97.25	$170.92	$338.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $173.66 / $217.08	Facility		$77.31	$173.66	$217.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $94.23 / $212.02	Professional		$94.23	$94.23	$212.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $203.18 / $628.74	Facility		$112.88	$203.18	$628.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $124.60 / $253.34	Professional		$120.95	$124.60	$253.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $57.16 / $182.34	Professional		$57.16	$57.16	$182.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $57.16 / $57.16	Professional		$57.16	$57.16	$57.16
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $138.74 / $289.02	Professional		$104.20	$138.74	$289.02