Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.76 / $660.62 / $680.34	Professional		$398.76	$660.62	$680.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.20 / $743.19 / $918.26	Professional		$690.20	$743.19	$918.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $1,350.00	Professional		$88.13	$251.69	$1,350.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $130.80 / $130.80	Professional		$130.80	$130.80	$130.80
United Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $388.69 / $749.01	Professional		$239.00	$388.69	$749.01