Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $80.27	Facility		$69.56	$69.56	$80.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $80.27 / $86.94	Professional		$69.56	$80.27	$86.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.70 / $203.70 / $203.70	Facility		$203.70	$203.70	$203.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $114.28 / $250.18	Professional		$109.87	$114.28	$250.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $149.96	Facility		$147.05	$147.05	$149.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $107.35 / $147.05	Professional		$72.06	$107.35	$147.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $169.37 / $293.33	Professional		$113.27	$169.37	$293.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $93.61 / $156.01	Professional		$73.29	$93.61	$156.01