Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $101.21 / $140.91	Facility		$53.27	$101.21	$140.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $53.27 / $54.55	Professional		$53.27	$53.27	$54.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $59.24 / $179.98	Facility		$51.62	$59.24	$179.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $59.81	Professional		$54.55	$54.55	$59.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $64.18 / $64.18	Professional		$64.18	$64.18	$64.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42