Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $254.22 / $411.60	Facility		$134.46	$254.22	$411.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $123.36 / $303.06	Professional		$88.00	$123.36	$303.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.87 / $129.53 / $393.52	Facility		$112.87	$129.53	$393.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $135.97	Professional		$123.36	$123.36	$135.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $133.84 / $156.46	Professional		$123.36	$133.84	$156.46
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36