Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $246.31	Facility		$95.93	$95.93	$246.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $133.06 / $246.31	Professional		$95.93	$133.06	$246.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $296.08 / $296.08	Facility		$296.08	$296.08	$296.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $296.08	Professional		$133.38	$133.38	$296.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $217.98	Facility		$138.76	$138.76	$217.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $195.69	Professional		$101.29	$138.76	$195.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $236.87 / $426.37	Professional		$164.65	$236.87	$426.37
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $110.79 / $184.65	Professional		$86.74	$110.79	$184.65