Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $81.58 / $94.13	Facility		$81.58	$81.58	$94.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $87.12 / $95.55	Professional		$81.58	$87.12	$95.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.88 / $238.88 / $238.88	Facility		$238.88	$238.88	$238.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $109.12 / $238.88	Professional		$104.91	$109.12	$238.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $175.85	Facility		$111.95	$111.95	$175.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.94 / $157.87	Professional		$81.72	$111.94	$157.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $198.62 / $343.99	Professional		$132.83	$198.62	$343.99
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $89.38 / $148.97	Professional		$69.98	$89.38	$148.97