Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $92.61 / $122.97	Facility		$52.18	$92.61	$122.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $43.48 / $358.41	Professional		$31.21	$43.48	$358.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $55.74 / $69.68	Facility		$24.82	$55.74	$69.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $33.72	Professional		$22.30	$22.30	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $65.20 / $201.80	Facility		$36.22	$65.20	$201.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $31.33 / $81.30	Professional		$30.42	$31.33	$81.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $14.35 / $58.53	Professional		$14.35	$14.35	$58.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $14.35 / $14.35	Professional		$14.35	$14.35	$14.35
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $24.50 / $61.25	Professional		$23.41	$24.50	$61.25