Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $18.02 / $23.93	Facility		$10.58	$18.02	$23.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $647.20	Professional		$10.58	$20.00	$647.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $149.16 / $186.45	Facility		$149.16	$149.16	$186.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $194.25 / $275.70	Professional		$150.00	$194.25	$275.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $105.78 / $553.47	Facility		$99.01	$105.78	$553.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $255.54 / $306.00	Professional		$204.44	$255.54	$306.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $223.74 / $223.74	Facility		$223.74	$223.74	$223.74