Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $153.91	Facility		$134.47	$134.47	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $134.47 / $1,260.80	Professional		$131.24	$134.47	$1,260.80
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 $23.53 / $137.72 / $137.72	Professional		$23.53	$137.72	$137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $162.02 / $162.02	Professional		$84.28	$162.02	$162.02
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Professional		$153.91	$153.91	$153.91