Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $96.47 / $129.31	Facility		$54.86	$96.47	$129.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $45.72 / $376.93	Professional		$32.83	$45.72	$376.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $58.62 / $73.28	Facility		$26.10	$58.62	$73.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $23.45 / $35.46	Professional		$23.45	$23.45	$35.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $68.58 / $212.22	Facility		$38.10	$68.58	$212.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $32.04 / $85.50	Professional		$31.14	$32.04	$85.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $61.55	Professional		$14.72	$14.72	$61.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $14.72	Professional		$14.72	$14.72	$14.72
United Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $87.93 / $87.93	Facility		$87.93	$87.93	$87.93
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $25.14 / $61.55	Professional		$24.62	$25.14	$61.55