Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $55.22 / $149.32	Facility		$27.65	$55.22	$149.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $32.68 / $102.76	Professional		$25.37	$32.68	$102.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $26.64 / $80.93	Facility		$23.21	$26.64	$80.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $28.02	Professional		$25.37	$25.37	$28.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Facility		$25.37	$25.37	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $27.52 / $96.24	Professional		$25.37	$27.52	$96.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37