Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $93.87 / $125.83	Facility		$53.39	$93.87	$125.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $70.00 / $98.89	Professional		$28.52	$70.00	$98.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $57.04 / $71.30	Facility		$25.39	$57.04	$71.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $69.59	Professional		$22.82	$22.82	$69.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $66.73 / $206.54	Facility		$37.08	$66.73	$206.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $69.17 / $82.87	Professional		$28.96	$69.17	$82.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $14.26 / $59.89	Professional		$14.26	$14.26	$59.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $14.26 / $14.26	Professional		$14.26	$14.26	$14.26
United Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $85.56 / $85.56	Facility		$85.56	$85.56	$85.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $57.04	Professional		$23.96	$23.96	$57.04