Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $124.58 / $143.74	Facility		$124.58	$124.58	$143.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $124.58 / $145.94	Professional		$124.12	$124.58	$145.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.80 / $364.80 / $364.80	Facility		$364.80	$364.80	$364.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $163.91 / $364.80	Professional		$160.21	$163.91	$364.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $268.56	Facility		$170.96	$170.96	$268.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $303.93	Professional		$124.80	$124.80	$303.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $291.83 / $493.00	Professional		$202.86	$291.83	$493.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $136.49 / $227.49	Professional		$106.88	$136.49	$227.49