Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $236.84 / $329.75	Facility		$124.65	$236.84	$329.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $124.65 / $127.65	Professional		$124.65	$124.65	$127.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $127.65 / $127.65	Professional		$63.43	$127.65	$127.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Professional		$150.18	$150.18	$150.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15