Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $161.52 / $214.46	Facility		$91.00	$161.52	$214.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $75.83 / $625.13	Professional		$54.44	$75.83	$625.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $97.22 / $121.53	Facility		$43.28	$97.22	$121.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $38.89 / $90.91	Professional		$38.89	$38.89	$90.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $113.74 / $351.97	Facility		$63.19	$113.74	$351.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $118.64 / $142.13	Professional		$49.43	$118.64	$142.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $102.08	Professional		$24.31	$24.31	$102.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $24.31	Professional		$24.31	$24.31	$24.31
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $102.08	Professional		$40.83	$40.83	$102.08