Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $114.51 / $152.04	Facility		$64.51	$114.51	$152.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $53.76 / $443.16	Professional		$51.69	$53.76	$443.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $68.92 / $86.15	Facility		$30.68	$68.92	$86.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $35.70 / $50.58	Professional		$32.40	$35.70	$50.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $66.30 / $89.19	Facility		$45.30	$66.30	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $79.30 / $99.12	Professional		$43.68	$79.30	$99.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $68.92 / $72.37	Professional		$17.23	$68.92	$72.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
United Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $103.38 / $103.38	Facility		$103.38	$103.38	$103.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $34.03 / $81.03	Professional		$28.95	$34.03	$81.03