Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $173.22	Facility		$158.91	$158.91	$173.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $486.60	Professional		$158.91	$158.91	$486.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $166.87 / $506.95	Facility		$145.41	$166.87	$506.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $183.31	Professional		$158.91	$158.91	$183.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $158.91 / $158.91	Facility		$152.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $158.91 / $189.47	Professional		$151.58	$158.91	$189.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $172.41 / $179.91	Professional		$137.38	$172.41	$179.91
United Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $158.91 / $242.88	Professional		$103.30	$158.91	$242.88