Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $99.40	Facility		$84.49	$84.49	$99.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $104.76 / $309.74	Professional		$84.48	$104.76	$309.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $86.97 / $264.23	Facility		$75.79	$86.97	$264.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.83 / $84.49	Professional		$82.58	$82.83	$84.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $84.49 / $190.00	Professional		$0.22	$84.49	$190.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $93.60 / $130.53	Professional		$53.84	$93.60	$130.53