Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $161.69	Facility		$62.97	$62.97	$161.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $87.47 / $161.69	Professional		$62.97	$87.47	$161.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $194.38 / $194.38	Facility		$194.38	$194.38	$194.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $121.56 / $237.23	Professional		$106.87	$121.56	$237.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $143.10	Facility		$120.62	$120.62	$143.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.36 / $128.59	Professional		$88.05	$88.36	$128.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $161.62 / $279.91	Professional		$108.09	$161.62	$279.91
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $88.76 / $133.74	Professional		$69.50	$88.76	$133.74