Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $131.25 / $174.27	Facility		$85.65	$131.25	$174.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $90.85 / $90.85	Professional		$59.25	$90.85	$90.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $66.36 / $189.60	Facility		$25.68	$66.36	$189.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $51.26	Professional		$31.60	$31.60	$51.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $92.43 / $128.38	Facility		$51.35	$92.43	$128.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $87.45 / $104.78	Professional		$63.20	$87.45	$104.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $19.75 / $82.95	Professional		$19.75	$19.75	$82.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $19.75 / $19.75	Professional		$19.75	$19.75	$19.75
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $79.00	Professional		$33.18	$33.18	$79.00