Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $106.38 / $205.16	Facility		$43.63	$106.38	$205.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $76.53 / $630.85	Professional		$73.58	$76.53	$630.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $98.11 / $122.64	Facility		$43.68	$98.11	$122.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $50.82 / $72.01	Professional		$39.24	$50.82	$72.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $114.79 / $355.20	Facility		$63.77	$114.79	$355.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $112.75 / $140.94	Professional		$48.26	$112.75	$140.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $98.11 / $103.02	Professional		$0.68	$98.11	$103.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77
United Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $147.16 / $147.16	Facility		$147.16	$147.16	$147.16
United Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $41.21 / $98.11	Professional		$36.85	$41.21	$98.11