Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $331.13 / $765.33	Facility		$158.72	$331.13	$765.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $158.72 / $161.96	Professional		$88.56	$158.72	$161.96
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 $161.96 / $296.27 / $296.27	Professional		$161.96	$296.27	$296.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Professional		$348.56	$348.56	$348.56
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $259.31	Professional		$259.31	$259.31	$259.31