Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $169.83	Professional		$163.24	$163.24	$169.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $192.05 / $192.05	Professional		$176.00	$192.05	$192.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $192.05	Professional		$163.24	$163.24	$192.05
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $192.05 / $192.05	Professional		$164.98	$192.05	$192.05