Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $50.22 / $167.90	Facility		$13.57	$50.22	$167.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.08 / $60.80 / $160.65	Facility	CQ	$13.08	$60.80	$160.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $21.36 / $218.00	Professional		$13.00	$21.36	$218.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $20.44 / $117.00	Professional	CQ	$15.48	$20.44	$117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $30.24 / $75.00	Professional		$19.89	$30.24	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.00 / $70.00	Facility		$55.00	$60.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $35.00 / $113.94	Professional		$20.00	$35.00	$113.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $29.35 / $49.42	Professional		$0.30	$29.35	$49.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $27.68 / $41.52	Professional		$0.30	$27.68	$41.52
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $28.87 / $38.77	Professional		$23.09	$28.87	$38.77