Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $216.92	Professional		$216.91	$216.92	$216.92
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 $187.08 / $255.20 / $255.20	Professional		$187.08	$255.20	$255.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $216.92 / $255.20	Professional		$190.00	$216.92	$255.20
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $247.53 / $255.20	Professional		$219.05	$247.53	$255.20