Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $69.98 / $80.76	Facility		$69.98	$69.98	$80.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $80.76 / $112.64	Professional		$69.98	$80.76	$112.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $204.94 / $204.94	Facility		$204.94	$204.94	$204.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $114.05 / $250.07	Professional		$109.82	$114.05	$250.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $150.86	Facility		$140.54	$140.54	$150.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $220.32	Professional		$102.59	$102.59	$220.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $170.41 / $295.11	Professional		$113.96	$170.41	$295.11
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $93.57 / $136.91	Professional		$73.26	$93.57	$136.91