Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $110.82 / $147.15	Facility		$62.44	$110.82	$147.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $71.09 / $79.79	Professional		$35.35	$71.09	$79.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $66.70 / $83.38	Facility		$29.69	$66.70	$83.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $40.35 / $51.22	Professional		$32.94	$40.35	$51.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $78.05 / $241.52	Facility		$43.36	$78.05	$241.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $76.41 / $95.51	Professional		$49.34	$76.41	$95.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $66.70 / $70.04	Professional		$0.47	$66.70	$70.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $22.93 / $22.93	Professional		$22.93	$22.93	$22.93
United Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $100.05 / $100.05	Facility		$100.05	$100.05	$100.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $39.13 / $66.70	Professional		$28.01	$39.13	$66.70