Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $126.43 / $169.47	Facility		$59.92	$126.43	$169.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $53.13 / $88.35	Professional		$34.65	$53.13	$88.35
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 $31.80 / $32.11 / $32.11	Professional		$31.80	$32.11	$32.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.56 / $278.17	Facility		$2.06	$2.56	$278.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $37.50 / $76.22	Professional		$26.55	$37.50	$76.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $190.00 / $425.00	Professional		$0.81	$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 Professional Modifier Low / Median / High Price $21.44 / $30.62 / $47.42	Professional		$21.44	$30.62	$47.42