Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.94 / $103.94 / $119.93	Facility		$103.94	$103.94	$119.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $119.93 / $152.72	Professional		$103.94	$119.93	$152.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.35 / $304.35 / $304.35	Facility		$304.35	$304.35	$304.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $157.80 / $347.79	Professional		$152.75	$157.80	$347.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $224.05	Facility		$190.78	$190.78	$224.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $206.14	Professional		$139.27	$190.78	$206.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $243.48 / $438.26	Professional		$169.24	$243.48	$438.26
United Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $130.13 / $203.36	Professional		$101.89	$130.13	$203.36