Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $162.97 / $162.97	Facility		$156.16	$162.97	$162.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $365.83	Professional		$162.97	$162.97	$365.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.13 / $171.13 / $519.91	Facility		$149.13	$171.13	$519.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $212.00 / $218.36	Professional		$173.28	$212.00	$218.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $176.81 / $218.36	Professional		$162.97	$176.81	$218.36
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $184.17 / $218.36	Professional		$162.97	$184.17	$218.36