Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $176.27	Facility		$149.83	$149.83	$176.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $149.83 / $171.61	Professional		$141.38	$149.83	$171.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $154.37 / $468.99	Facility		$134.52	$154.37	$468.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $176.27 / $176.27	Professional		$149.96	$176.27	$176.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $190.00	Professional		$149.83	$149.83	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $166.13 / $176.27	Professional		$147.02	$166.13	$176.27