Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $68.52 / $122.30	Facility		$58.49	$68.52	$122.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $43.87 / $114.06	Professional		$29.25	$43.87	$114.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $58.49 / $73.11	Facility		$26.04	$58.49	$73.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $85.20	Professional		$23.40	$23.40	$85.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $68.44 / $211.77	Facility		$38.02	$68.44	$211.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $71.36 / $85.50	Professional		$29.79	$71.36	$85.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $61.41	Professional		$14.62	$14.62	$61.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
United Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $87.74 / $87.74	Facility		$87.74	$87.74	$87.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $58.49	Professional		$24.57	$24.57	$58.49