Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $118.69 / $146.66	Facility		$62.47	$118.69	$146.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $140.59	Professional		$63.68	$63.68	$140.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $66.86 / $79.77	Facility		$63.68	$66.86	$79.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $63.68	Professional		$62.47	$62.47	$63.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $63.68 / $63.68	Facility		$56.77	$63.68	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $69.09 / $137.97	Professional		$63.68	$69.09	$137.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $64.02 / $64.02	Facility		$64.02	$64.02	$64.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $71.31	Professional		$63.68	$63.68	$71.31