Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $124.89 / $151.15	Facility		$65.63	$124.89	$151.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $147.24	Professional		$65.63	$65.63	$147.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $68.91 / $209.36	Facility		$60.05	$68.91	$209.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.73	Professional		$65.63	$65.63	$65.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $65.63 / $65.63	Facility		$64.06	$65.63	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $71.20 / $76.76	Professional		$65.63	$71.20	$76.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $70.95 / $70.95	Facility		$70.95	$70.95	$70.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63