Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $165.17 / $221.39	Facility		$78.28	$165.17	$221.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $69.38 / $115.41	Professional		$46.47	$69.38	$115.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $42.30	Facility		$33.84	$33.84	$42.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.05 / $42.05	Professional		$42.05	$42.05	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.35 / $363.33	Facility		$2.72	$3.35	$363.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $51.61 / $109.00	Professional		$35.29	$51.61	$109.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $190.00 / $425.00	Professional		$1.31	$190.00	$425.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $43.38 / $43.38	Facility		$43.38	$43.38	$43.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $39.97 / $44.18	Professional		$29.21	$39.97	$44.18