Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $294.18 / $409.59	Facility		$154.83	$294.18	$409.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $154.83 / $158.56	Professional		$154.83	$154.83	$158.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $163.22 / $495.89	Facility		$51.96	$163.22	$495.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $158.56 / $158.56	Professional		$155.44	$158.56	$158.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $158.56 / $158.56	Facility		$48.92	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $186.54	Professional		$158.56	$158.56	$186.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $54.07 / $54.07	Facility		$54.07	$54.07	$54.07
United Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $155.44 / $155.44	Professional		$154.59	$155.44	$155.44