Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $78.44	Facility		$67.98	$67.98	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $78.44 / $101.54	Professional		$67.98	$78.44	$101.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Facility		$199.09	$199.09	$199.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $111.78 / $245.07	Professional		$107.64	$111.78	$245.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $146.56	Facility		$126.23	$126.23	$146.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $145.38	Professional		$92.15	$126.23	$145.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $165.53 / $286.69	Professional		$110.71	$165.53	$286.69
United Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $91.70 / $133.02	Professional		$71.80	$91.70	$133.02