Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.26 / $355.26 / $355.26	Facility		$355.26	$355.26	$355.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.26 / $386.17 / $1,170.59	Professional		$355.26	$386.17	$1,170.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $405.72 / $405.72	Facility		$405.72	$405.72	$405.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $178.13 / $178.13	Professional		$133.59	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $219.03	Professional		$170.00	$170.00	$219.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $405.72 / $405.72	Professional		$405.72	$405.72	$405.72
United Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $327.17 / $619.50	Professional		$219.28	$327.17	$619.50