Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $107.16 / $153.41	Facility		$57.23	$107.16	$153.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $62.81 / $288.80	Professional		$47.69	$62.81	$288.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $73.37 / $91.71	Facility		$32.65	$73.37	$91.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $57.30	Professional		$30.18	$30.18	$57.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $85.84 / $265.63	Facility		$47.69	$85.84	$265.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $89.31 / $228.95	Professional		$37.28	$89.31	$228.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $77.04	Professional		$20.84	$20.84	$77.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $20.84	Professional		$20.84	$20.84	$20.84
United Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $110.06 / $110.06	Facility		$110.06	$110.06	$110.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $35.02 / $83.37	Professional		$30.82	$35.02	$83.37