Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $114.17 / $158.80	Facility		$79.29	$114.17	$158.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $87.67 / $150.00	Professional		$62.45	$87.67	$150.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $100.36 / $154.41	Professional		$72.92	$100.36	$154.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $93.87 / $155.61	Professional		$61.41	$93.87	$155.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $94.14 / $172.38	Professional		$0.70	$94.14	$172.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $177.57 / $177.57 / $177.57	Facility		$177.57	$177.57	$177.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $86.36 / $130.99	Professional		$78.45	$86.36	$130.99
United Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $92.16 / $183.16	Professional		$62.14	$92.16	$183.16