Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $129.22 / $171.59	Facility		$72.80	$129.22	$171.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $60.67 / $500.13	Professional		$58.34	$60.67	$500.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $77.78 / $97.23	Facility		$34.63	$77.78	$97.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $47.05 / $57.09	Professional		$31.11	$47.05	$57.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $91.01 / $281.62	Facility		$50.56	$91.01	$281.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $89.21 / $111.51	Professional		$28.27	$89.21	$111.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $77.78 / $81.67	Professional		$0.36	$77.78	$81.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $12.96	Professional		$12.96	$12.96	$12.96
United Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $116.67 / $116.67	Facility		$116.67	$116.67	$116.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $32.67 / $77.78	Professional		$21.58	$32.67	$77.78