Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $165.19 / $201.01	Facility		$86.94	$165.19	$201.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $95.14	Professional		$87.28	$87.28	$95.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $91.64 / $278.42	Facility		$79.86	$91.64	$278.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $87.28	Professional		$86.94	$86.94	$87.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $87.28 / $87.28	Facility		$86.99	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $105.41	Professional		$87.28	$87.28	$105.41
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28