Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $194.23 / $260.33	Facility		$92.05	$194.23	$260.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $81.76 / $135.71	Professional		$53.46	$81.76	$135.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $291.26 / $364.08	Facility		$291.26	$291.26	$364.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $49.39 / $49.39	Professional		$24.20	$49.39	$49.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.94 / $427.22	Facility		$3.20	$3.94	$427.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $57.60 / $126.41	Professional		$40.71	$57.60	$126.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $190.00 / $425.00	Professional		$1.26	$190.00	$425.00
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 $436.89 / $436.89 / $436.89	Facility		$436.89	$436.89	$436.89
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $47.12 / $63.78	Professional		$34.01	$47.12	$63.78