Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $67.66 / $4,035.75	Facility		$29.38	$67.66	$4,035.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $1,512.00 / $4,669.50	Professional		$29.38	$1,512.00	$4,669.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $30.85 / $36.79	Facility		$29.38	$30.85	$36.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $29.38	Professional		$29.24	$29.24	$29.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $29.38 / $29.38	Facility		$27.66	$29.38	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.87 / $37.51	Professional		$29.38	$31.87	$37.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Facility		$29.80	$29.80	$29.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $32.71	Professional		$29.38	$29.38	$32.71