Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $166.74 / $221.39	Facility		$78.28	$166.74	$221.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $78.28 / $115.41	Professional		$78.28	$78.28	$115.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $149.16 / $186.45	Facility		$149.16	$149.16	$186.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $63.62 / $77.28	Professional		$42.05	$63.62	$77.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $65.23 / $363.33	Facility		$2.72	$65.23	$363.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $84.25 / $105.32	Professional		$35.29	$84.25	$105.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $190.00	Professional		$0.34	$0.34	$190.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $223.74 / $223.74	Facility		$223.74	$223.74	$223.74
United Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $43.35 / $85.66	Professional		$27.67	$43.35	$85.66