Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $53.35 / $136.97	Facility		$53.35	$53.35	$136.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $67.22 / $136.97	Professional		$53.35	$67.22	$136.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.65 / $164.65 / $164.65	Facility		$164.65	$164.65	$164.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $76.13 / $166.93	Professional		$76.13	$76.13	$166.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $121.22	Facility		$99.25	$99.25	$121.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $139.77	Professional		$72.45	$72.45	$139.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $136.91 / $237.10	Professional		$91.57	$136.91	$237.10
United Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $82.54 / $93.69	Facility		$47.16	$82.54	$93.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $62.46 / $104.10	Professional		$48.90	$62.46	$104.10