Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $144.47 / $191.84	Facility		$81.40	$144.47	$191.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $63.32 / $545.24	Professional		$46.09	$63.32	$545.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $86.96 / $108.70	Facility		$38.71	$86.96	$108.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $52.61 / $66.78	Professional		$42.94	$52.61	$66.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $101.74 / $314.82	Facility		$56.52	$101.74	$314.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $99.95 / $124.93	Professional		$58.16	$99.95	$124.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $86.96 / $91.31	Professional		$0.71	$86.96	$91.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $29.88 / $29.88	Professional		$29.88	$29.88	$29.88
United Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $130.44 / $130.44	Facility		$130.44	$130.44	$130.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $51.01 / $107.35	Professional		$36.52	$51.01	$107.35