Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $101.37	Professional		$73.81	$73.81	$101.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $77.51 / $235.49	Facility		$67.55	$77.51	$235.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $77.70 / $97.12	Professional		$66.43	$77.70	$97.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $73.81 / $190.00	Professional		$66.05	$73.81	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $83.42	Professional		$73.81	$77.70	$83.42