Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.47 / $50.47	Professional		$50.00	$50.47	$50.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $190.00	Professional		$42.90	$42.90	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $57.03 / $60.56	Professional		$50.47	$57.03	$60.56