Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $120.29 / $308.85	Facility		$120.29	$120.29	$308.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $148.41 / $308.85	Professional		$120.29	$148.41	$308.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.28 / $371.28 / $371.28	Facility		$371.28	$371.28	$371.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $169.19 / $371.28	Professional		$167.25	$169.19	$371.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $273.33	Facility		$177.64	$177.64	$273.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $245.39	Professional		$129.68	$177.64	$245.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $206.47 / $297.02 / $493.00	Professional		$206.47	$297.02	$493.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $185.23 / $231.54	Professional		$108.77	$185.23	$231.54