Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $109.80 / $7,947.50	Facility		$56.07	$109.80	$7,947.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $58.33 / $6,035.70	Professional		$56.07	$58.33	$6,035.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $58.87 / $70.23	Facility		$56.07	$58.87	$70.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $56.01 / $56.07	Professional		$56.01	$56.01	$56.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.91 / $56.07 / $56.07	Facility		$54.91	$56.07	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $60.83 / $64.75	Professional		$56.07	$60.83	$64.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $59.85 / $59.85	Facility		$59.85	$59.85	$59.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07