Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $63.67 / $73.45	Facility		$63.67	$63.67	$73.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $76.30 / $422.00	Professional		$63.67	$76.30	$422.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $186.43 / $186.43	Facility		$186.43	$186.43	$186.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $103.75 / $227.52	Professional		$99.93	$103.75	$227.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $137.27	Facility		$106.63	$106.63	$137.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $121.71	Professional		$77.84	$106.63	$121.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $155.02 / $268.45	Professional		$103.68	$155.02	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $85.13 / $124.58	Professional		$66.66	$85.13	$124.58