Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.92 / $70.92 / $81.83	Facility		$70.92	$70.92	$81.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $78.13 / $83.07	Professional		$70.92	$78.13	$83.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.68 / $207.68 / $207.68	Facility		$207.68	$207.68	$207.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $116.28 / $254.53	Professional		$111.80	$116.28	$254.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $152.88	Facility		$119.29	$119.29	$152.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $212.05	Professional		$87.08	$87.08	$212.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $172.68 / $299.06	Professional		$115.49	$172.68	$299.06
United Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $95.24 / $138.76	Professional		$74.56	$95.24	$138.76