Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $139.44 / $164.71	Facility		$71.52	$139.44	$164.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $72.23 / $209.10	Professional		$71.52	$72.23	$209.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $75.09 / $228.15	Facility		$65.44	$75.09	$228.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $73.39	Professional		$71.52	$71.52	$73.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Facility		$71.52	$71.52	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $77.59 / $114.00	Professional		$71.52	$77.59	$114.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $71.52 / $71.52	Professional		$46.49	$71.52	$71.52