Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $144.13 / $174.71	Facility		$75.86	$144.13	$174.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $141.82	Professional		$75.86	$75.86	$141.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $79.65 / $241.99	Facility		$69.41	$79.65	$241.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $75.86 / $75.86	Facility		$72.45	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $82.30 / $102.52	Professional		$75.86	$82.30	$102.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86