Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $422.77	Facility		$164.66	$164.66	$422.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $228.70 / $422.77	Professional		$164.66	$228.70	$422.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.23 / $508.23 / $508.23	Facility		$508.23	$508.23	$508.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $245.26 / $544.49	Professional		$245.26	$245.26	$544.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $374.14	Facility		$299.52	$299.52	$374.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $335.88	Professional		$218.65	$299.52	$335.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $282.62 / $406.58 / $660.70	Professional		$282.62	$406.58	$660.70
United Facility/Professional Professional Modifier Low / Median / High Price $188.36 / $203.73 / $339.55	Professional		$188.36	$203.73	$339.55