Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.11 / $138.11 / $159.36	Facility		$138.11	$138.11	$159.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $138.11 / $161.77	Professional		$131.61	$138.11	$161.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.43 / $404.43 / $404.43	Facility		$404.43	$404.43	$404.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $181.32 / $404.43	Professional		$177.62	$181.32	$404.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $297.73	Facility		$196.21	$196.21	$297.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $267.29	Professional		$143.22	$196.21	$267.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $323.54 / $525.76	Professional		$224.90	$323.54	$525.76
United Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $151.33 / $252.21	Professional		$118.49	$151.33	$252.21