Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $75.68 / $91.73	Facility		$39.83	$75.68	$91.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $41.43 / $103.88	Professional		$39.83	$41.43	$103.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $41.82 / $127.06	Facility		$36.44	$41.82	$127.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.86	Facility		$39.83	$39.83	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $43.21 / $45.60	Professional		$39.82	$43.21	$45.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $44.05 / $44.05	Facility		$44.05	$44.05	$44.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83