Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $138.46 / $4,326.03	Facility		$46.21	$138.46	$4,326.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $523.82	Professional		$63.06	$63.06	$523.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $66.20 / $201.16	Facility		$57.70	$66.20	$201.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $63.06	Professional		$32.09	$32.09	$63.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $80.88	Facility		$63.06	$63.06	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $68.41 / $329.11	Professional		$63.06	$68.41	$329.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $96.69 / $96.69	Facility		$96.69	$96.69	$96.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $70.20	Professional		$63.06	$63.06	$70.20