Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $72.63 / $83.80	Facility		$72.63	$72.63	$83.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $83.80 / $93.83	Professional		$72.63	$83.80	$93.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $212.68 / $212.68	Facility		$212.68	$212.68	$212.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $127.73 / $283.58	Professional		$124.54	$127.73	$283.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $156.57	Facility		$150.11	$150.11	$156.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $179.50	Professional		$109.58	$150.11	$179.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $176.84 / $306.26	Professional		$118.27	$176.84	$306.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $106.10 / $176.84	Professional		$83.08	$106.10	$176.84