Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $173.78 / $208.93	Facility		$85.11	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $104.71	Professional		$83.18	$85.11	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $275.42	Facility		$91.20	$91.20	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $91.20	Professional		$89.13	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71