Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $158.44 / $203.33	Facility		$80.91	$158.44	$203.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $88.19	Professional		$80.91	$80.91	$88.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $84.96 / $258.10	Facility		$74.03	$84.96	$258.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $80.91	Professional		$80.75	$80.75	$80.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Facility		$80.91	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $87.78 / $93.48	Professional		$80.91	$87.78	$93.48
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $85.93 / $85.93	Facility		$85.93	$85.93	$85.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
United Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.91 / $93.48	Professional		$80.75	$80.91	$93.48