Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $126.55 / $148.82	Facility		$64.62	$126.55	$148.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $201.35	Professional		$64.62	$64.62	$201.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $67.84 / $206.14	Facility		$59.13	$67.84	$206.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $75.05	Professional		$64.62	$64.62	$75.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $70.09 / $101.44	Professional		$64.62	$70.09	$101.44
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62