Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $92.00 / $112.92	Facility		$48.42	$92.00	$112.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $112.48	Professional		$49.03	$49.03	$112.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $51.48 / $61.41	Facility		$49.03	$51.48	$61.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $49.03	Professional		$48.42	$48.42	$49.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $49.42	Facility		$49.03	$49.03	$49.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $53.20 / $57.05	Professional		$49.03	$53.20	$57.05
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.09 / $55.09	Facility		$55.09	$55.09	$55.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03