Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $142.00 / $158.96 / $158.96	Professional		$142.00	$158.96	$158.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $135.12 / $190.00	Professional		$135.12	$135.12	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $179.62	Professional		$158.96	$158.96	$179.62