Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $72.83 / $84.03	Facility		$72.83	$72.83	$84.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $77.19 / $85.31	Professional		$72.83	$77.19	$85.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.27 / $213.27 / $213.27	Facility		$213.27	$213.27	$213.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $107.22 / $235.06	Professional		$103.25	$107.22	$235.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $157.02	Facility		$110.16	$110.16	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $140.97	Professional		$80.42	$110.16	$140.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $177.33 / $307.11	Professional		$118.60	$177.33	$307.11
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $87.95 / $142.52	Professional		$68.86	$87.95	$142.52