Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.18 / $157.18 / $403.57	Facility		$157.18	$157.18	$403.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.18 / $218.32 / $403.57	Professional		$157.18	$218.32	$403.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.15 / $485.15 / $485.15	Facility		$485.15	$485.15	$485.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $298.61 / $592.03	Professional		$266.68	$298.61	$592.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $357.14	Facility		$321.50	$321.50	$357.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $576.38	Professional		$234.70	$234.70	$576.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $403.39 / $698.62	Professional		$269.77	$403.39	$698.62
United Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $221.52 / $338.98	Professional		$173.45	$221.52	$338.98