Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.27 / $168.27 / $194.16	Facility		$168.27	$168.27	$194.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $168.27 / $197.10	Professional		$151.25	$168.27	$197.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.74 / $492.74 / $492.74	Facility		$492.74	$492.74	$492.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $225.09 / $492.74	Professional		$225.09	$225.09	$492.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $362.75	Facility		$230.92	$230.92	$362.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $325.64	Professional		$168.57	$230.92	$325.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $394.19 / $640.55	Professional		$274.01	$394.19	$640.55
United Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $184.37 / $307.27	Professional		$144.36	$184.37	$307.27