Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $96.36 / $127.95	Facility		$54.29	$96.36	$127.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $45.24 / $113.10	Professional		$23.42	$45.24	$113.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $58.00 / $72.50	Facility		$25.82	$58.00	$72.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $23.20 / $35.09	Professional		$15.80	$23.20	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $67.86 / $209.99	Facility		$37.70	$67.86	$209.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $15.42 / $84.45	Professional		$14.65	$15.42	$84.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $60.90	Professional		$6.89	$6.89	$60.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
United Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Facility		$87.00	$87.00	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $24.36 / $60.90	Professional		$11.77	$24.36	$60.90