Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $78.95 / $91.11	Facility		$78.95	$78.95	$91.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $82.47 / $92.49	Professional		$78.95	$82.47	$92.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $231.22 / $231.22	Facility		$231.22	$231.22	$231.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $105.61 / $231.22	Professional		$102.95	$105.61	$231.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $170.21	Facility		$144.01	$144.01	$170.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $137.32 / $152.81	Professional		$105.13	$137.32	$152.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $192.25 / $332.96	Professional		$128.58	$192.25	$332.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $86.51 / $144.19	Professional		$67.73	$86.51	$144.19