Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $236.55 / $329.36	Facility		$124.50	$236.55	$329.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $124.50 / $127.50	Professional		$124.50	$124.50	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $131.38 / $398.75	Facility		$114.38	$131.38	$398.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $127.50 / $127.50	Professional		$125.00	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $131.80	Facility		$127.50	$127.50	$131.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $145.87 / $145.87 / $145.87	Facility		$145.87	$145.87	$145.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00