Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $164.07 / $228.44	Facility		$86.35	$164.07	$228.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $86.35 / $88.43	Professional		$86.35	$86.35	$88.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.33 / $91.04 / $276.57	Facility		$79.33	$91.04	$276.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $88.43 / $91.90	Professional		$86.70	$88.43	$91.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $104.04	Professional		$88.43	$88.43	$104.04
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70