Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.09 / $134.83 / $301.67	Facility		$116.09	$134.83	$301.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $134.83 / $181.81	Professional		$112.00	$134.83	$181.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $139.05 / $422.45	Facility		$121.17	$139.05	$422.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $158.62 / $158.62	Professional		$135.08	$158.62	$158.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $134.83 / $190.00	Professional		$134.83	$134.83	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $149.65 / $158.62	Professional		$132.43	$149.65	$158.62