Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $217.05 / $221.48	Facility		$204.90	$217.05	$221.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $217.05 / $221.48	Professional		$90.07	$217.05	$221.48
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 $318.38 / $1,844.67 / $1,844.67	Professional		$318.38	$1,844.67	$1,844.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $335.00 / $335.00	Professional		$256.13	$335.00	$335.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,061.69 / $2,170.19 / $2,170.19	Professional		$2,061.69	$2,170.19	$2,170.19