Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $62.88 / $161.44	Facility		$62.88	$62.88	$161.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $77.59 / $421.00	Professional		$62.88	$77.59	$421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $194.08 / $194.08	Facility		$194.08	$194.08	$194.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $88.15 / $194.08	Professional		$87.42	$88.15	$194.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $142.88	Facility		$97.54	$97.54	$142.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $95.78 / $122.36	Professional		$71.20	$95.78	$122.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $161.38 / $279.48	Professional		$107.93	$161.38	$279.48
United Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $75.23 / $121.03	Professional		$56.86	$75.23	$121.03