Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $133.53 / $177.30	Facility		$75.23	$133.53	$177.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $60.28 / $516.78	Professional		$42.60	$60.28	$516.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $80.37 / $100.46	Facility		$35.78	$80.37	$100.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $48.62 / $61.72	Professional		$13.23	$48.62	$61.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $94.03 / $290.98	Facility		$52.24	$94.03	$290.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $92.10 / $115.12	Professional		$55.10	$92.10	$115.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $80.37 / $84.39	Professional		$0.85	$80.37	$84.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $27.62 / $27.62	Professional		$27.62	$27.62	$27.62
United Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $120.56 / $120.56	Facility		$120.56	$120.56	$120.56
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $47.14 / $99.24	Professional		$31.50	$47.14	$99.24